# TLC PEDIATRICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205804770
- **Authorized official:** PARVANEH BOROJENI M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (845) 483-5852

## Contact information

- **Practice address:** 1 WEBSTER AVE, SUITE 302, POUGHKEEPSIE, NY 12601-1361
- **Practice address phone:** (845) 483-5852
- **Practice address fax:** (845) 483-5413
- **Mailing address:** 1 WEBSTER AVE, SUITE 302, POUGHKEEPSIE, NY 12601-1361
- **Mailing address phone:** (845) 483-5852
- **Mailing address fax:** (845) 483-5413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 1550961 | NY | Yes |

## Other

- **Enumeration date:** 03/10/2006
- **Last updated:** 08/22/2020