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Organization
VILLAGE PEDIATRIC GROUP PLLC
Active
Organization
VILLAGE PEDIATRIC GROUP PLLC
Active
Parent organization
VILLAGE PEDIATRIC GROUP PLLC
Other names
Village Pediatric Group PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VILLAGE PEDIATRIC GROUP PLLC
Authorized official
MRS. KAIRA RIVERA (BILLING MANAGER)
(914) 771-7070
Entity
Organization
Contact information
Practice address
115 MAIN ST, SUITE 301, TUCKAHOE, NY 10707-2911
(914) 771-7070
(914) 771-7073
Mailing address
115 MAIN ST, SUITE 301, TUCKAHOE, NY 10707-2911
(914) 771-7070
(914) 771-7073
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
216946
NY
208000000X
Pediatrics Physician
225800
NY
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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