South Shore Pediatrics Pc

LBN: South Shore Pediatrics Pc
South Shore Pediatrics Pc is an health care organization with primary practice located at 431 Beach 129Th St , Belle Harbor NY 11694-1516. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. South Shore Pediatrics Pc can be contacted via phone (718) 945-2600, or through Raifman, Mark A via phone (718) 945-2600.

Contact Information

Primary practice address
431 Beach 129Th St Belle Harbor NY 11694-1516
Phone: (718) 945-2600
Fax: (718) 945-3987
Website:
Map and Directions
Authorized official contact:
Name: Raifman, Mark A Doctor of Medicine (MD)
Phone: (718) 945-2600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 6012692 New York

Profile Details

NPI number 1245213875
LBN Legal business name South Shore Pediatrics Pc
DBA Doing business as
Authorized official Raifman, Mark A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245213875 NPPES
New York MEDICAID 01427081

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