# PEDERSON-KRAG CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PEDERSON-KRAG CENTER, INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013964170
- **Authorized official:** MS. JACQUELINE RIVERA-HERRERA (VP OF FINANCE FOR CLINICAL SERVICES)
- **Authorized official phone:** (347) 542-4217

## Contact information

- **Practice address:** 55 HORIZON DR, HUNTINGTON, NY 11743-4436
- **Practice address phone:** (631) 920-8000
- **Practice address fax:** (631) 920-8167
- **Mailing address:** 142-02 20TH AVENUE, 3RD FLOOR, FLUSHING, NY 11351
- **Mailing address phone:** (718) 559-0555
- **Mailing address fax:** (718) 445-7111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 03/03/2015