Pediatric&adolescent Medical Care Pllc
Pediatric Adolescent Medicine
Pediatric&adolescent Medical Care Pllc is a Brooklyn, New York based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
450 76th St, Brooklyn, New York - 11209-3204. They can be contacted on phone at
718-333-5483 and fax number 718-980-0085.
NPI number (Unique professional ID) for Pediatric&adolescent Medical Care Pllc is
1699103879 which was assigned by NPPES on 24 Oct, 2013 and it was last updated on 24 Oct, 2013.
Pediatric&adolescent Medical Care Pllc license number is
219864 for Pediatrics Adolescent Medicine (2080A0000X) in New York.
Pediatric&adolescent Medical Care Pllc 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:
Pediatric&adolescent Medical Care Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Pediatric&adolescent Medical Care Pllc |
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Business Address:
Pediatric&adolescent Medical Care Pllc 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 : | 450 76th St
Brooklyn, NY, 11209-3204
United States |
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| Phone Number : | 718-333-5483 |
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| Fax Number : | 718-980-0085 |
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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 : | 1699103879 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 24 Oct, 2013 |
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| Last Updated On : | 24 Oct, 2013 |
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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 : | Emad Ghaly |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | CEO |
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| Phone Number : | 718-333-5483 |
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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 Pediatric&adolescent Medical Care Pllc are as mentioned. Primary taxonomy code for Pediatric&adolescent Medical Care Pllc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 219864 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric&adolescent Medical Care Pllc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 01928032 | MEDICAID | NY | |
| 219864 | Other | NY | NY LIC |
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 : | 450 76th St
Brooklyn, NY, 11209-3204
United States |
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| Phone Number : | 718-333-5483 |
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| Fax Number : | 718-980-0085 |
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Business Location:
Patients can refer following map for directions to
Pediatric&adolescent Medical Care Pllc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.