National Provider Identifier Database

202 PEDIATRICS PLLC
Primary Care


Contact Information

202 PEDIATRICS PLLC
61 NEW MAIN ST STE 101
HAVERSTRAW, NY10927-1885
Phone: 845-517-5333
Fax: 845-517-5331
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for 202 PEDIATRICS PLLC

NPI Number 1629713771
Legal business name
LBN
202 PEDIATRICS PLLC
Authorized official UGOLINO CALDERON - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/03/2022
Last updated 05/03/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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