Organization
SPRINGFIELD PEDIATRIC P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HABIB NAZARIAN M.D. (OFFICER)
(718) 712-2200
Entity
Organization
Contact information
Practice address
23520 147TH AVE STE 4, ROSEDALE, NY 11422-3293
(718) 712-2200
(718) 712-5666
Mailing address
23520 147TH AVENUE, SUITE 4, ROSEDALE, NY 11422
(718) 712-2200
(718) 712-5666
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
142782
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00731035
—
NY
Enumeration date
10/10/2006
Last updated
08/19/2011
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