NPI | 1407116536 |
---|---|
Doing Business As | THE CHILDREN'S MEDICAL GROUP PLLC |
Entity Type | Organization |
Authorized Contact | KIMBERLY MAYHEW Chief Executive Officer 845-452-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2012-05-23 |
Last Update Date | 2021-10-21 |