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

Boro Park Pediatric Associates, PLLC

Organization Pediatrics Physician · NPI 1063629186

Boro Park Pediatric Associates, PLLC is a Pediatrics Physician in Brooklyn, New York. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4406 12th Ave
Brooklyn, NY 11219-2077
Phone: (718) 438-4400
Fax: (718) 438-4404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1063629186
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Diamond — Ceo · (718) 438-4400
NPI enumeratedMay 17, 2007
Last updated in NPPESJuly 3, 2013
Mailing address4406 12th Ave, Brooklyn, NY 11219-2077

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