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

South Shore Pediatrics PC

Organization Pediatrics Physician · NPI 1245213875

South Shore Pediatrics PC is a Pediatrics Physician in Belle Harbor, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
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

431 Beach 129th St
Belle Harbor, NY 11694-1516
Phone: (718) 945-2600
Fax: (718) 945-3987
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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 6012692 (NY)

Record details

NPI number1245213875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Raifman — Owner · (718) 945-2600
NPI enumeratedNovember 29, 2005
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 940073, Rockaway Park, NY 11694-0073

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