# PEDIATRIC PRACTICE ASSOCIATES, P.C.

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

## Provider details

- **NPI number:** 1831386317
- **Authorized official:** DR. HAYDEE L. LANCMAN M.D. (OWNER)
- **Authorized official phone:** (203) 323-8171

## Contact information

- **Practice address:** 1515 SUMMER ST, STE. 101, STAMFORD, CT 06905-5149
- **Practice address phone:** (203) 323-8171
- **Practice address fax:** (203) 323-7122
- **Mailing address:** 1515 SUMMER ST, STE. 101, STAMFORD, CT 06905-5149
- **Mailing address phone:** (203) 323-8171
- **Mailing address fax:** (203) 323-7122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 037157 | CT | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 037157 | CT | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | 003351 | CT | — |

## Other

- **Enumeration date:** 09/28/2007
- **Last updated:** 09/08/2011