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Organization
WANTAGH PEDIATRIC PLLC
Active
Organization
WANTAGH PEDIATRIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER AXEL MD (PRESIDENT)
(516) 221-5151
Entity
Organization
Contact information
Practice address
2415 JERUSALEM AVE, N BELLMORE, NY 11714
(516) 221-5151
(516) 221-0566
Mailing address
2415 JERUSALEM AVE, N BELLMORE, NY 11714
(516) 221-5151
(516) 221-0566
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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