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

Dr. Datev Pidedjian, MD

Individual provider Pediatric Emergency Medicine (Pediatrics) Physician · NPI 1699730424

Dr. Datev Pidedjian, MD is a Pediatric Emergency Medicine (Pediatrics) Physician in Mineola, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 572-6131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence 194567 (NY)

Record details

NPI number1699730424
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 17, 2006
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021
Mailing address259 1st St, Mineola, NY 11501-3957

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