Four Seasons Pediatrics, Llc
Pediatric Adolescent Medicine
Four Seasons Pediatrics, Llc is a Clifton Park, New York based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
532 Moe Rd, Clifton Park, New York - 12065-3822. They can be contacted on phone at
518-383-2425 and fax number 518-383-3255.
NPI number (Unique professional ID) for Four Seasons Pediatrics, Llc is
1750387817 which was assigned by NPPES on 23 Jun, 2005 and it was last updated on 05 Mar, 2012.
Four Seasons Pediatrics, Llc license number is
182956 for Pediatrics Adolescent Medicine (2080A0000X) in New York.
Four Seasons Pediatrics, Llc 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.
Complete Profile:
Four Seasons Pediatrics, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Four Seasons Pediatrics, Llc |
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Business Address:
Four Seasons Pediatrics, Llc 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 : | 532 Moe Rd
Clifton Park, NY, 12065-3822
United States |
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| Phone Number : | 518-383-2425 |
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| Fax Number : | 518-383-3255 |
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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 : | 1750387817 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 23 Jun, 2005 |
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| Last Updated On : | 05 Mar, 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 : | Harrysellers Miller |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PARTNER |
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| Phone Number : | 518-383-2425 |
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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 Four Seasons Pediatrics, Llc are as mentioned. Primary taxonomy code for Four Seasons Pediatrics, Llc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 182956 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Four Seasons Pediatrics, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 01355619 | MEDICAID | NY | |
| 00347562 | 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 : | 532 Moe Rd
Clifton Park, NY, 12065-3822
United States |
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| Phone Number : | 518-383-2425 |
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| Fax Number : | 518-383-3255 |
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Business Location:
Patients can refer following map for directions to
Four Seasons Pediatrics, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.