St. Nicholas Pediatrics, Pc

LBN: St. Nicholas Pediatrics, Pc
St. Nicholas Pediatrics, Pc is an health care organization with primary practice located at 1559 Saint Nicholas Ave , New York NY 10040-4261. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. St. Nicholas Pediatrics, Pc can be contacted via phone (212) 928-8188, or through Valencia, Hector Antonio via phone (212) 928-8188.

Contact Information

Primary practice address
1559 Saint Nicholas Ave New York NY 10040-4261
Phone: (212) 928-8188
Fax: (212) 929-8040
Website:
Map and Directions
Authorized official contact:
Name: Valencia, Hector Antonio Doctor of Medicine (MD)
Phone: (212) 928-8188

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1962552802
LBN Legal business name St. Nicholas Pediatrics, Pc
DBA Doing business as
Authorized official Valencia, Hector Antonio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
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 1962552802 NPPES
New York MEDICAID 02219529

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