Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Pediatrics, PC

Organization Pediatrics Physician · NPI 1083815385

Advanced Pediatrics, PC is a Pediatrics Physician in Elmhurst, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9436 59th Ave Ste C4
Elmhurst, NY 11373-5151
Phone: (718) 271-2600
Fax: (718) 271-2766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 211204 (NY)

Record details

NPI number1083815385
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wilfredo Lao — Partner · (718) 271-2600
NPI enumeratedMay 31, 2007
Last updated in NPPESFebruary 23, 2012
Mailing address9436 59th Ave, Suite C4, Elmhurst, NY 11373-5151

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