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

Pediatric and Adolescent Medicine

Organization Pediatric Adolescent Medicine Physician · NPI 1073612768

Pediatric and Adolescent Medicine is a Pediatric Adolescent Medicine Physician in New York, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

390 W End Ave
New York, NY 10024-6107
Phone: (212) 787-1444
Fax: (212) 799-8620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1073612768
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Max Kahn — Senior Partner In Practice · (212) 787-1444
NPI enumeratedSeptember 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address390 W End Ave, New York, NY 10024-6107

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