Island Kids Pediatrics, P.C. in Staten Island - Adolescent Medicine

Island Kids Pediatrics, P.C. - NPI 1487792024

Island Kids Pediatrics, P.C. is a Adolescent Medicine in Staten Island, New York. Island Kids Pediatrics, P.C. practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Island Kids Pediatrics, P.C. is 1487792024. The last update date is 2010-08-02.

Island Kids Pediatrics, P.C.'s current location address is 2066 Richmond Avenue, Staten Island, New York. You can contact this provider via phone number 7189829001 and fax number 7189829008. The mailing address for Island Kids Pediatrics, P.C. is 2066 Richmond Avenue, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Island Kids Pediatrics, P.C.
Address 2066 Richmond Avenue, Staten Island, New York
Phone Number 7189829001
Fax Number 7189829008
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Cereb Deniz
Credentials M.D.
Telephone Number 7189829001

NPI Number Detail

NPI Number 1487792024
Provider Enumeration Date 2007-02-04
Last Updated Date 2010-08-02

Provider Mailing Address Detail

Address 2066 Richmond Avenue
City Staten Island
State New York (NY)
Post Code 103143916
Phone Number 7189829001
Fax Number 7189829008

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No 200270
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
1717335 NY --
3120101 NY --

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FAQs about Island Kids Pediatrics, P.C.

What is the unique 10-digit identification code assigned to Island Kids Pediatrics, P.C. by the Centers for Medicare & Medicaid Services?

The Island Kids Pediatrics, P.C. has been issued the NPI (National Provider Identifier) 1487792024, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Island Kids Pediatrics, P.C. is physically located?

The Island Kids Pediatrics, P.C. is situated at the following address: 2066 Richmond Avenue, Staten Island, NY 103143916.

What is Island Kids Pediatrics, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Island Kids Pediatrics, P.C.'s specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080A0000X.

When did the Island Kids Pediatrics, P.C. receive its 1487792024?

The Island Kids Pediatrics, P.C. was issued its 1487792024 on 2007-02-04, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Island Kids Pediatrics, P.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Island Kids Pediatrics, P.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-08-02.

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