Organization
NORTH BALDWIN PEDIATRICS, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTA DINORA CANALES MD (PRESIDENT)
(516) 771-4582
Entity
Organization
Contact information
Practice address
2010 GRAND AVE, NORTH BALDWIN, NY 11510-2811
(516) 771-4582
(516) 771-4583
Mailing address
PO BOX 440, NORTH BALDWIN, NY 11510-0440
(516) 771-4582
(516) 771-4583
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
215758
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2150085
—
NY
Enumeration date
10/29/2005
Last updated
02/20/2015
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