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Throgs Neck Pediatrics, P.C.

Pediatrics in Bronx, NY. Organization (NPI-2).

NPI number1720177553
StatusActive
Last updated in NPPESJul 11, 2007

Details

NPI
1720177553
Entity type
Organization (NPI-2)
Legal business name
Throgs Neck Pediatrics, P.C.
Organization subpart
No
Enumeration date
Oct 12, 2006
Last updated
Jul 11, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics138456NYYes

Practice location

3594 E Tremont Ave
Lower Level
Bronx, NY 10465-2032

Phone 718-863-1050 · Fax 718-863-1895

Mailing address

3594 E Tremont Ave
Lower Level
Bronx, NY 10465-2032

Phone 718-863-1050 · Fax 718-863-1895

Authorized official

Lon B Easton
President
7188631050

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