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

Branch Pediatrics and Adolescent Group PC

Organization Pediatrics Physician · NPI 1740552942

Branch Pediatrics and Adolescent Group PC is a Pediatrics Physician in Smithtown, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
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

300 E Main St Ste 4/5
Smithtown, NY 11787-2900
Phone: (631) 979-6466
Fax: (631) 979-6475
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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 135693 (NY)

Record details

NPI number1740552942
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Ancona — President · (631) 979-6466
NPI enumeratedFebruary 2, 2012
Last updated in NPPESFebruary 2, 2012
Mailing address300 E Main St, Suite 4/5, Smithtown, NY 11787-2900

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