Organization · NPI-2

Arthur Avenue Pediatrics PC

Pediatrics · Bronx, NY

NPI number1609090018

StatusActive

Last updated in NPPESJan 25, 2012

Details

NPI: 1609090018
Entity type: Organization (NPI-2)
Legal business name: Arthur Avenue Pediatrics PC
Organization subpart: Yes
Enumeration date: Apr 13, 2007
Last updated: Jan 25, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208000000X	Pediatrics	–	–	Yes
2080P0006X	Pediatrics, Developmental - Behavioral Pediatrics	–	–

Practice location

2385 Arthur Ave
Suite #206
Bronx, NY 10458-8184

Phone 718-220-9755 · Fax 718-220-9757

Mailing address

2385 Arthur Ave
Suite #206
Bronx, NY 10458-8184

Phone 718-220-9755 · Fax 718-220-9757

Authorized official

Karen Josette Greer
Medical Director
7182209755

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