Organization
ALLIAD PEDIATRICS
Active
Parent organization
MD'S FOR KIDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
MD'S FOR KIDS
Authorized official
MARYELLEN CASSIDY (RPAC)
(516) 775-4506
Entity
Organization
Contact information
Practice address
935 NORTHERN BLVD, GREAT NECK, NY 11021-5316
(516) 466-5437
Mailing address
935 NORTHERN BLVD, GREAT NECK, NY 11021-5316
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002298
NY
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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