West 11 Street Pediatrics
West 11 Street Pediatrics provides Pediatrics Physician services in New York, New York. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
46 W 11th StNew York, NY 10011-8602
Phone: (212) 529-4330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X |
|---|
Record details
| NPI number | 1609994748 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edit Polyakova — Billing Manager · (212) 529-4330 |
| NPI enumerated | March 27, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 46 West 11 Street, New York, NY 10011 |
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