I M Pediatrics Pc in Ridgewood - Pediatrics
I M Pediatrics Pc - NPI 1669456984
I M Pediatrics Pc is a Pediatrics in Ridgewood, New York. I M Pediatrics Pc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for I M Pediatrics Pc is 1669456984. The last update date is 2012-02-24.
I M Pediatrics Pc's current location address is 6412 Fresh Pond Rd, Ridgewood, New York. You can contact this provider via phone number 7184971565 and fax number 7184971567. The mailing address for I M Pediatrics Pc is 6412 Fresh Pond Rd, Ridgewood, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | I M Pediatrics Pc |
|---|---|
| Address | 6412 Fresh Pond Rd, Ridgewood, New York |
| Phone Number | 7184971565 |
| Fax Number | 7184971567 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mienko Katarzyna Iwona |
| Credentials | MD |
| Telephone Number | 7184971565 |
NPI Number Detail
| NPI Number | 1669456984 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2012-02-24 |
Provider Mailing Address Detail
| Address | 6412 Fresh Pond Rd |
|---|---|
| City | Ridgewood |
| State | New York (NY) |
| Post Code | 113853331 |
| Phone Number | 7184971565 |
| Fax Number | 7184971567 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 217951 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2105622 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to I M Pediatrics Pc by the Centers for Medicare & Medicaid Services?
The I M Pediatrics Pc has been assigned the NPI (National Provider Identifier) 1669456984 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where I M Pediatrics Pc is geographically located?
The I M Pediatrics Pc is physically situated at the following location: 6412 Fresh Pond Rd, Ridgewood, NY, 113853331.
What is I M Pediatrics Pc's area of expertise and its corresponding taxonomy classification?
The I M Pediatrics Pc's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669456984 to I M Pediatrics Pc?
The Centers for Medicare & Medicaid Services originally issued the 1669456984 to I M Pediatrics Pc on 2005-11-30.
As of what date were the I M Pediatrics Pc's details last updated?
The information pertaining to the I M Pediatrics Pc, including its address, specialty, and other details, was most recently updated on 2012-02-24.
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