Shaker Pediatrics Pc in Latham - Adolescent Medicine
Shaker Pediatrics Pc - NPI 1336156223
Shaker Pediatrics Pc is a Adolescent Medicine in Latham, New York. Shaker Pediatrics Pc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Shaker Pediatrics Pc is 1336156223. The last update date is 2020-08-22.
Shaker Pediatrics Pc's current location address is 10 Century Hill Drive, Latham, New York. You can contact this provider via phone number 5187835563 and fax number 5187855708. The mailing address for Shaker Pediatrics Pc is 10 Century Hill Drive, Latham, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shaker Pediatrics Pc |
|---|---|
| Address | 10 Century Hill Drive, Latham, New York |
| Phone Number | 5187835563 |
| Fax Number | 5187855708 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FIRST VICE |
|---|---|
| Authorized Official Name | Neilley M Henry |
| Credentials | MD |
| Telephone Number | 5187835563 |
NPI Number Detail
| NPI Number | 1336156223 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 10 Century Hill Drive |
|---|---|
| City | Latham |
| State | New York (NY) |
| Post Code | 12110 |
| Phone Number | 5187835563 |
| Fax Number | 5187855708 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1762674 | NY | -- | |
| 26210 | MVP MARYLA WARSZAWA-AMB | ||
| 401340001 | BS SHEELA GRANEY MD | ||
| 1260746 | NY | -- | |
| 26208 | MVP WILLIAM A PETERSEN MD | ||
| 401387001 | BS WILLIAM A PETERSEN MD | ||
| 10002804 | CDPHP WM A PETERSEN MD | ||
| 26207 | MVP HENRY NEILLEY MD | ||
| 401569001 | BS HENRY NEILLEY MD | ||
| 10001463 | CDPHP HENRY NEILLEY MD |
Post Comment/ Review Below
What is the unique identifier code issued to Shaker Pediatrics Pc by the Centers for Medicare & Medicaid Services?
The Shaker Pediatrics Pc has been assigned the NPI (National Provider Identifier) 1336156223. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shaker Pediatrics Pc located?
The Shaker Pediatrics Pc is located at 10 Century Hill Drive, Latham, NY 12110.
What is Shaker Pediatrics Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shaker Pediatrics Pc's specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080A0000X.
When did the Shaker Pediatrics Pc receive its 1336156223?
The Shaker Pediatrics Pc was issued its 1336156223 on 2006-08-02, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Shaker Pediatrics Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shaker Pediatrics Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.