Organization
BOSTON PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA M VENTURA (MANAGER)
(718) 617-2500
Entity
Organization
Contact information
Practice address
1262 BOSTON RD, BRONX, NY 10456-3602
(718) 617-2500
(718) 617-0500
Mailing address
1262 BOSTON RD, BRONX, NY 10456-3602
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F339460-1
NY
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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