# PM PEDIATRICS OF NEVADA-BACHMAN, P.C.

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

## Provider details

- **NPI number:** 1942954904
- **Authorized official:** MS. MARLENA SIMPSON CPMSM (SR. DIRECTOR, CRED & ENROLLMENT)
- **Authorized official phone:** (516) 207-7851

## Contact information

- **Practice address:** 1 HOLLOW LN STE 301, NEW HYDE PARK, NY 11042-1215
- **Practice address phone:** (516) 207-7851
- **Mailing address:** 1 HOLLOW LN STE 301, NEW HYDE PARK, NY 11042-1215
- **Mailing address phone:** (516) 207-7851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/09/2022
- **Last updated:** 02/09/2022
