Organization
IN TOWN PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA ERIKA GAZZOLA-KRAENZLIN MD (OWNER)
(914) 967-9000
Entity
Organization
Contact information
Practice address
150 PURCHASE ST, SUITE 8A, RYE, NY 10580-2141
(914) 967-9000
(914) 967-9007
Mailing address
150 PURCHASE ST, SUITE 8A, RYE, NY 10580-2141
(914) 967-9000
(914) 967-9007
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
040193
CT
261QP2300X
Primary Care Clinic/Center
Primary
215407
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02159204
—
NY
Enumeration date
12/09/2011
Last updated
12/09/2011
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