| NPI | 1538247986 |
|---|---|
| Doing Business As | PEDIATRIC HEALTHCARE OF LI |
| Entity Type | Organization |
| Authorized Contact | ABRAHAM I GREEN Medical Director 516-295-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2024-06-26 |