Organization
NORTHPORT PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KEIFER (OFFICE MANAGER)
(631) 875-1478
Entity
Organization
Contact information
Practice address
351 LARKFIELD RD, EAST NORTHPORT, NY 11731-2940
(631) 875-1478
Mailing address
351 LARKFIELD RD, EAST NORTHPORT, NY 11731-2940
(631) 875-1478
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
164129
NY
Other
Enumeration date
11/25/2015
Last updated
11/30/2015
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