# DIVINO NINO PEDIATRICS

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

## Provider details

- **NPI number:** 1891929311
- **Authorized official:** DR. DENISE NUNEZ M.D (PRESIDENT)
- **Authorized official phone:** (347) 590-0660

## Contact information

- **Practice address:** 557 E FORDHAM RD, BRONX, NY 10458-5001
- **Practice address phone:** (347) 590-0660
- **Practice address fax:** (347) 590-0663
- **Mailing address:** 557 E FORDHAM RD, BRONX, NY 10458-5001
- **Mailing address phone:** (347) 590-0660
- **Mailing address fax:** (347) 590-0663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 248239 | NY | Yes |

## Other

- **Enumeration date:** 05/12/2009
- **Last updated:** 05/12/2010