# NASSAU PEDIATRIC ASSOC. PC

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

## Provider details

- **NPI number:** 1396967568
- **Authorized official:** DR. WILLIAM KUNCEWITCH M.D. (PRESIDENT)
- **Authorized official phone:** (516) 481-3660

## Contact information

- **Practice address:** 380 DOGWOOD AVE, FRANKLIN SQUARE, NY 11010-3447
- **Practice address phone:** (516) 481-3660
- **Practice address fax:** (516) 481-1602
- **Mailing address:** 380 DOGWOOD AVE, FRANKLIN SQUARE, NY 11010-3447
- **Mailing address phone:** (516) 481-3660
- **Mailing address fax:** (516) 481-1602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080H0002X | Pediatric Hospice and Palliative Medicine Physician | — | NULL | Yes |
| 2080H0002X | Pediatric Hospice and Palliative Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 10/19/2011