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Four Boroughs Aba

Pediatrics, Developmental - Behavioral Pediatrics in Brooklyn, NY. Organization (NPI-2).

NPI number1336746403
StatusActive
Last updated in NPPESOct 2, 2020

Details

NPI
1336746403
Entity type
Organization (NPI-2)
Legal business name
Four Boroughs Aba
Organization subpart
No
Enumeration date
Oct 2, 2020
Certification date
Oct 2, 2020
Last updated
Oct 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics––Yes

Practice location

1344 E 24th St
Brooklyn, NY 11210-5143

Phone 347-452-2665

Mailing address

1344 E 24th St
Brooklyn, NY 11210-5143

Authorized official

Simcha B Bendet
Management Director
3476689113

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