# PEDIATRICS 2000AT 207 STREET PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1811014483
- **Authorized official:** MR. JUAN TAPIA MENDOZA MD (OWNER)
- **Authorized official phone:** (212) 544-7777

## Contact information

- **Practice address:** 515 W 207TH ST, NEW YORK, NY 10034-2645
- **Practice address phone:** (212) 544-7777
- **Practice address fax:** (212) 544-9660
- **Mailing address:** 515 W 207TH ST, NEW YORK, NY 10034-2645
- **Mailing address phone:** (212) 544-7777
- **Mailing address fax:** (212) 544-9660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 02/08/2008