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Organization
ST. NICHOLAS PEDIATRICS, PC
Active
Organization
ST. NICHOLAS PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR ANTONIO VALENCIA M.D. (OWNER)
(718) 884-7400
Entity
Organization
Contact information
Practice address
251 W KINGSBRIDGE RD, BRONX, NY 10463-7308
(718) 884-7400
(718) 884-3186
Mailing address
3230 156TH ST, FLUSHING, NY 11354-3326
(718) 884-7400
(718) 884-3186
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02219529
—
NY
Enumeration date
01/11/2007
Last updated
08/22/2020
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