# ISLAND KIDS PEDIATRICS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DENIZ CEREB MD PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487792024
- **Authorized official:** MR. DENIZ CEREB M.D. (PRESIDENT)
- **Authorized official phone:** (718) 982-9001

## Contact information

- **Practice address:** 2066 RICHMOND AVENUE, 1ST FLOOR, STATEN ISLAND, NY 10314-3916
- **Practice address phone:** (718) 982-9001
- **Practice address fax:** (718) 982-9008
- **Mailing address:** 2066 RICHMOND AVENUE, 1ST FLOOR, STATEN ISLAND, NY 10314-3916
- **Mailing address phone:** (718) 982-9001
- **Mailing address fax:** (718) 982-9008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 200270 | NY | Yes |
| 261QP2300X | Primary Care Clinic/Center | 200270 | NY | — |

## Other

- **Enumeration date:** 02/04/2007
- **Last updated:** 08/02/2010