Organization
PINE STREET PEDIATRICS ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANNE HENDRICKS (BILLING COORDINATOR)
(845) 331-4484
Entity
Organization
Contact information
Practice address
140 PINE ST STE 210, KINGSTON, NY 12401-4948
(845) 331-4484
(845) 853-7106
Mailing address
140 PINE ST STE 210, KINGSTON, NY 12401-4948
(845) 331-4484
(845) 853-7106
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NY
Other
Enumeration date
08/10/2006
Last updated
07/21/2022
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