Port Jefferson Pediatrics in Port Jefferson Stati - Pediatrics
Port Jefferson Pediatrics - NPI 1609994722
Port Jefferson Pediatrics is a Pediatrics in Port Jefferson Stati, New York. Port Jefferson Pediatrics practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Port Jefferson Pediatrics is 1609994722. The last update date is 2020-08-22.
Port Jefferson Pediatrics's current location address is 12 Medical Dr, Port Jefferson Stati, New York. You can contact this provider via phone number 6313311710 and fax number 6313319069. The mailing address for Port Jefferson Pediatrics is 12 Medical Dr, Port Jefferson Stati, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Port Jefferson Pediatrics |
|---|---|
| Address | 12 Medical Dr, Port Jefferson Stati, New York |
| Phone Number | 6313311710 |
| Fax Number | 6313319069 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Kaplan Martin |
| Telephone Number | 6313311710 |
NPI Number Detail
| NPI Number | 1609994722 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 12 Medical Dr |
|---|---|
| City | Port Jefferson Stati |
| State | New York (NY) |
| Post Code | 117761588 |
| Phone Number | 6313311710 |
| Fax Number | 6313319069 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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What is the unique 10-digit identification code issued to Port Jefferson Pediatrics by the Centers for Medicare & Medicaid Services?
The Port Jefferson Pediatrics has been assigned the NPI (National Provider Identifier) 1609994722 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Port Jefferson Pediatrics located?
The Port Jefferson Pediatrics is located at 12 Medical Dr, Port Jefferson Stati, NY 117761588.
What is the Port Jefferson Pediatrics's specialty and taxonomy code?
The Port Jefferson Pediatrics's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609994722 to Port Jefferson Pediatrics?
The Centers for Medicare & Medicaid Services originally issued the 1609994722 to Port Jefferson Pediatrics on 2007-03-27.
As of what date were the details related to Port Jefferson Pediatrics most recently updated or revised?
The information pertaining to Port Jefferson Pediatrics, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.