Jesus Pichardo Md Pc in Ridgewood - Primary Care

Jesus Pichardo Md Pc - NPI 1295902468

Jesus Pichardo Md Pc is a Primary Care in Ridgewood, New York. Jesus Pichardo Md Pc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Jesus Pichardo Md Pc is 1295902468. The last update date is 2013-04-16.

Jesus Pichardo Md Pc's current location address is 1623 Weirfield Street, Ridgewood, New York. You can contact this provider via phone number 7184564600 and fax number 7184183549. The mailing address for Jesus Pichardo Md Pc is 1623 Weirfield Street, Ridgewood, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jesus Pichardo Md Pc
Address 1623 Weirfield Street, Ridgewood, New York
Phone Number 7184564600
Fax Number 7184183549
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PEDIATRIC
Authorized Official Name Pichardo Manuel Jesus
Credentials M.D.
Telephone Number 7184564600

NPI Number Detail

NPI Number 1295902468
Provider Enumeration Date 2008-05-15
Last Updated Date 2013-04-16

Provider Mailing Address Detail

Address 1623 Weirfield Street
City Ridgewood
State New York (NY)
Post Code 11385
Phone Number 7184564600
Fax Number 7184183549

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Licence No 188066
Definition:
Serves as the first point of contact for comprehensive healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1463212 NY --

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FAQs about Jesus Pichardo Md Pc

What is the unique identifier code issued to Jesus Pichardo Md Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Jesus Pichardo Md Pc has been assigned the NPI (National Provider Identifier) 1295902468. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Jesus Pichardo Md Pc?

The Jesus Pichardo Md Pc is physically situated at 1623 Weirfield Street, in the city of Ridgewood, state of NY, with the postal code 11385.

What is Jesus Pichardo Md Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jesus Pichardo Md Pc is Primary Care, and the taxonomy code that classifies this field of practice is 261Qp2300X.

On what date was the 1295902468 assigned to Jesus Pichardo Md Pc?

The Jesus Pichardo Md Pc was issued its 1295902468 on 2008-05-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Jesus Pichardo Md Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jesus Pichardo Md Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-16.

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