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

Old Country Pediatrics PC

Organization Pediatrics Physician · NPI 1184726960

Old Country Pediatrics PC is a Pediatrics Physician in Plainview, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

556 Old Country Rd
Plainview, NY 11803
Phone: (516) 938-3232
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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 181879 (NY)

Record details

NPI number1184726960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Bruzzone — President · (516) 938-3232
NPI enumeratedSeptember 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address556 Old Country Rd, Plainview, NY 11803

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