Branch Pediatrics And Adolescent Group P.c.
Pediatrics
Branch Pediatrics And Adolescent Group P.c. is a Smithtown, New York based Pediatric center with medical specialization in
General Pediatrics.
It is located at
300 E Main St, Suite 4/5, Smithtown, New York - 11787-2900. They can be contacted on phone at
631-979-6466 and fax number 631-979-6475.
NPI number (Unique professional ID) for Branch Pediatrics And Adolescent Group P.c. is
1740552942 which was assigned by NPPES on 02 Feb, 2012 and it was last updated on 02 Feb, 2012.
Branch Pediatrics And Adolescent Group P.c. license number is
135693 for Pediatrics (208000000X) in New York.
Branch Pediatrics And Adolescent Group 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:
Branch Pediatrics And Adolescent Group P.c. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Branch Pediatrics And Adolescent Group P.c. |
|---|
Business Address:
Branch Pediatrics And Adolescent Group 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 : | 300 E Main St, Suite 4/5
Smithtown, NY, 11787-2900
United States |
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| Phone Number : | 631-979-6466 |
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| Fax Number : | 631-979-6475 |
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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 : | 1740552942 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 02 Feb, 2012 |
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| Last Updated On : | 02 Feb, 2012 |
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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 : | Richardc Ancona |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 631-979-6466 |
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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 Branch Pediatrics And Adolescent Group P.c. are as mentioned. Primary taxonomy code for Branch Pediatrics And Adolescent Group P.c. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 135693 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Branch Pediatrics And Adolescent Group P.c. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2837205 | Other | NY | UNITED HEALTHCARE |
| 2696288 | Other | NY | GHI |
| 0121165 | Other | NY | GHI |
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 : | 300 E Main St, Suite 4/5
Smithtown, NY, 11787-2900
United States |
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| Phone Number : | 631-979-6466 |
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| Fax Number : | 631-979-6475 |
|---|
Business Location:
Patients can refer following map for directions to
Branch Pediatrics And Adolescent Group 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.