# PM PEDIATRICS MANAGEMENT GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PM PEDIATRICS MANAGEMENT GROUP, LLC
- **Other names:** PM PEDIATRICS, PM Pediatrics Management Group, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356190110
- **Legal business name:** PM PEDIATRICS MANAGEMENT GROUP, LLC
- **Authorized official:** MS. MARLENA SIMPSON CPMSM (SR DIR, CREDENTIALS & ENROLLMENT)
- **Authorized official phone:** (516) 207-7851

## Contact information

- **Practice address:** 1 HOLLOW LN STE 301, NEW HYDE PARK, NY 11042-1215
- **Practice address phone:** (516) 869-0650
- **Practice address fax:** (516) 869-0655
- **Mailing address:** 1 HOLLOW LN STE 301, NEW HYDE PARK, NY 11042-1215
- **Mailing address phone:** (516) 869-0650
- **Mailing address fax:** (516) 869-0655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/15/2024
- **Last updated:** 05/15/2024