# MAIN STREET PEDIATRICS PC

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

## Provider details

- **NPI number:** 1326058199
- **Authorized official:** DR. SEEMA B CHAUDHARI M.D. (PRESIDENT)
- **Authorized official phone:** (518) 677-8575

## Contact information

- **Practice address:** 33 GILBERT ST STE 3, CAMBRIDGE, NY 12816-2644
- **Practice address phone:** (518) 677-8575
- **Practice address fax:** (518) 677-2580
- **Mailing address:** 33 GILBERT ST STE 3, CAMBRIDGE, NY 12816-2644
- **Mailing address phone:** (518) 677-8575
- **Mailing address fax:** (518) 677-2580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

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