I M Pediatrics Pc
Pediatrics
I M Pediatrics Pc is a Ridgewood, New York based Pediatric center with medical specialization in
General Pediatrics.
It is located at
6412 Fresh Pond Rd, Ridgewood, New York - 11385-3331. They can be contacted on phone at
718-497-1565 and fax number 718-497-1567.
NPI number (Unique professional ID) for I M Pediatrics Pc is
1669456984 which was assigned by NPPES on 30 Nov, 2005 and it was last updated on 24 Feb, 2012.
I M Pediatrics Pc license number is
217951 for Pediatrics (208000000X) in New York.
I M Pediatrics Pc 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:
I M Pediatrics Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | I M Pediatrics Pc |
|---|
Business Address:
I M Pediatrics Pc 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 : | 6412 Fresh Pond Rd
Ridgewood, NY, 11385-3331
United States |
|---|
| Phone Number : | 718-497-1565 |
|---|
| Fax Number : | 718-497-1567 |
|---|
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 : | 1669456984 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 30 Nov, 2005 |
|---|
| Last Updated On : | 24 Feb, 2012 |
|---|
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 : | Iwonakatarzyna Mienko |
|---|
| Authorized Official Credential : | MD |
|---|
| Official Title or Position : | PRESIDENT |
|---|
| Phone Number : | 718-497-1565 |
|---|
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 I M Pediatrics Pc are as mentioned. Primary taxonomy code for I M Pediatrics Pc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 217951 | NY |
Legacy Identifiers:
Other legacy medical identifiers of I M Pediatrics Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 02105622 | 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 : | 6412 Fresh Pond Rd
Ridgewood, NY, 11385-3331
United States |
|---|
| Phone Number : | 718-497-1565 |
|---|
| Fax Number : | 718-497-1567 |
|---|
Business Location:
Patients can refer following map for directions to
I M Pediatrics Pc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.