National Provider Identifier Database

FAMILY PEDIATRIC
Children


Contact Information

FAMILY PEDIATRIC
2224 COLLIER AVE
FAR ROCKAWAY, NY11691-2637
Phone: 347-683-0924
Fax: 516-596-8860
Website:
Specialty Taxonomy Code
* Children 282NC2000X
Health Maintenance Organization 302R00000X
Nursing Care 251J00000X
Nursing Facility/Intermediate Care Facility 313M00000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X

* Indicates primary specialty

NPI Profile & details for FAMILY PEDIATRIC

NPI Number 1982093944
Legal business name
LBN
FAMILY PEDIATRIC
Authorized official OLUWAKEMI OGUNDALU - (REGISTERED NURSE)
Entity Organization
Organization subpart No
Enumeration date 01/14/2015
Last updated 01/14/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 689977

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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