Brentwood Pediatric & Adolescent Associates, Pc in Bay Shore - Adolescent Medicine
Brentwood Pediatric & Adolescent Associates, Pc - NPI 1578753075
Brentwood Pediatric & Adolescent Associates, Pc is a Adolescent Medicine in Bay Shore, New York. Brentwood Pediatric & Adolescent Associates, Pc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Brentwood Pediatric & Adolescent Associates, Pc is 1578753075. The last update date is 2015-05-15.
Brentwood Pediatric & Adolescent Associates, Pc's current location address is 1464 5th Ave, Bay Shore, New York. You can contact this provider via phone number 6312315070 and fax number 6314353288. The mailing address for Brentwood Pediatric & Adolescent Associates, Pc is 1464 5th Ave, Bay Shore, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brentwood Pediatric & Adolescent Associates, Pc |
|---|---|
| Address | 1464 5th Ave, Bay Shore, New York |
| Phone Number | 6312315070 |
| Fax Number | 6314353288 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Espinoza C Juan |
| Credentials | M.D. |
| Telephone Number | 6312315070 |
NPI Number Detail
| NPI Number | 1578753075 |
|---|---|
| Provider Enumeration Date | 2007-07-31 |
| Last Updated Date | 2015-05-15 |
Provider Mailing Address Detail
| Address | 1464 5th Ave |
|---|---|
| City | Bay Shore |
| State | New York (NY) |
| Post Code | 117064147 |
| Phone Number | 6312315070 |
| Fax Number | 6314353288 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 224588-1 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Post Comment/ Review Below
What is the Brentwood Pediatric & Adolescent Associates, Pc's unique identification number?
The Brentwood Pediatric & Adolescent Associates, Pc has been assigned the NPI (National Provider Identifier) Number 1578753075 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Brentwood Pediatric & Adolescent Associates, Pc?
The Brentwood Pediatric & Adolescent Associates, Pc is physically situated at 1464 5Th Ave, in the city of Bay Shore, state of NY, with the postal code 117064147.
What is Brentwood Pediatric & Adolescent Associates, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brentwood Pediatric & Adolescent Associates, Pc's specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080A0000X.
On what date was the 1578753075 assigned to Brentwood Pediatric & Adolescent Associates, Pc?
The Brentwood Pediatric & Adolescent Associates, Pc was issued its 1578753075 on 2007-07-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Brentwood Pediatric & Adolescent Associates, Pc most recently updated or revised?
The information pertaining to Brentwood Pediatric & Adolescent Associates, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2015-05-15.
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