Organization
ABC PEDIATRICS
Active
Organization
ABC PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARA E MAYORAL MD (PRESIDENT)
(516) 766-4094
Entity
Organization
Contact information
Practice address
176 N VILLAGE AVE, SUITE 1D, ROCKVILLE CENTRE, NY 11570-3800
(516) 766-4094
(516) 766-4092
Mailing address
176 N VILLAGE AVE, SUITE 1D, ROCKVILLE CENTRE, NY 11570-3800
(516) 766-4094
(516) 766-4092
Taxonomy
Speciality
Code
Description
License number
State
2080T0002X
Pediatric Medical Toxicology Physician
Primary
220582
NY
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
Update your record
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