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Organization
PM KIDS
Active
Organization
PM KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALI GAUVIN MD (CO-OWNER)
(516) 456-4706
Entity
Organization
Contact information
Practice address
4225 ALTAMONT PL STE 201, WHITE PLAINS, MD 20695-3065
(240) 585-7128
Mailing address
4225 ALTAMONT PL STE 201, WHITE PLAINS, MD 20695-3065
(240) 585-7128
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/21/2019
Last updated
03/23/2026
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