139 Medical P.c.
Pediatrics
139 Medical P.c. is a New York, New York based Pediatric center with medical specialization in
General Pediatrics.
It is located at
139 Centre St, Suite 618, New York, New York - 10013-4552. They can be contacted on phone at
212-925-4993 and fax number 212-925-4665.
NPI number (Unique professional ID) for 139 Medical P.c. is
1790076370 which was assigned by NPPES on 29 Apr, 2011 and it was last updated on 02 Dec, 2011.
139 Medical P.c. license number is
214391 for Pediatrics (208000000X) in New York.
139 Medical P.c. is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
139 Medical P.c. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics |
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Provider Name : | 139 Medical P.c. |
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Business Address:
139 Medical P.c. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 139 Centre St, Suite 618 New York, NY, 10013-4552 United States |
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Phone Number : | 212-925-4993 |
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Fax Number : | 212-925-4665 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1790076370 |
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NPI Entity Type : | Organization |
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First Enrolment Date : | 29 Apr, 2011 |
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Last Updated On : | 02 Dec, 2011 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name : | Ka Li |
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Authorized Official Credential : | M.D. |
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Official Title or Position : | MEDICAL PROVIDER |
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Phone Number : | 212-925-4993 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 139 Medical P.c. are as mentioned. Primary taxonomy code for 139 Medical P.c. is
208000000X (Pediatrics).
Taxonomy Code | Speciality | Primary | License No. | State |
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208000000X | Pediatrics | Yes | 214391 | NY |
Legacy Identifiers:
Other legacy medical identifiers of 139 Medical P.c. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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02010557 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 139 Centre St, Suite 618 New York, NY, 10013-4552 United States |
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Phone Number : | 212-925-4993 |
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Fax Number : | 212-925-4665 |
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Business Location:
Patients can refer following map for directions to
139 Medical P.c. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.