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Contact Information

PEDIATRIC INTENSIVE CARE SERVICES PC
2 ETHAN ALLEN DR
SUFFERN, NY10901-1802
 Phone: 718-218-5693
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Hospice and Palliative Medicine

2080H0002X 37 Physician/Pediatric Medicine
 

Obesity Medicine

2080B0002X 37 Physician/Pediatric Medicine
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC INTENSIVE CARE SERVICES PC · (Female)

NPI Number 1922885045
Status Active
Credentials
Entity Individual
Enumeration date 09/12/2023
Last updated 10/02/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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