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Contact Information

OLD COUNTRY PEDIATRICS PC
556 OLD COUNTRY RD
PLAINVIEW, NY11803
 Phone: 516-938-3232
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for OLD COUNTRY PEDIATRICS PC · (Female)

NPI # 1184726960
Status Active
Credentials
Entity Individual
Enumeration date 09/02/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 181879
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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