| NPI | 1003568098 |
|---|---|
| Doing Business As | MAIN STREET PEDIATRIC |
| Entity Type | Organization |
| Authorized Contact | BELKIS COLON Owner 914-595-6882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2023-04-18 |