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Organization
TLC PEDIATRICS
Active
Organization
TLC PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARVANEH BOROJENI M.D. (MEDICAL DIRECTOR)
(845) 483-5852
Entity
Organization
Contact information
Practice address
1 WEBSTER AVE, SUITE 302, POUGHKEEPSIE, NY 12601-1361
(845) 483-5852
(845) 483-5413
Mailing address
1 WEBSTER AVE, SUITE 302, POUGHKEEPSIE, NY 12601-1361
(845) 483-5852
(845) 483-5413
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
1550961
NY
Other
Enumeration date
03/10/2006
Last updated
08/22/2020
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