National Provider Identifier Database

OLD COUNTRY PEDIATRICS PC
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

OLD COUNTRY PEDIATRICS PC
556 OLD COUNTRY RD
PLAINVIEW, NY11803
Phone: 516-938-3232
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for OLD COUNTRY PEDIATRICS PC

NPI Number 1184726960
Legal business name
LBN
OLD COUNTRY PEDIATRICS PC
Authorized official CHARLES BRUZZONE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/02/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 181879

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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