Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advanced Pediatrics, PC

Organization Pediatrics Physician · NPI 1083815385

Advanced Pediatrics, PC provides Pediatrics Physician services 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 Not confirmed with CMS for 14 years — call before visiting
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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