Organization
MAY HEALTHY KIDS PEDIATRIC, P.C
Active
Organization
MAY HEALTHY KIDS PEDIATRIC, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN BRADSHAW (MANAGER)
(408) 329-1304
Entity
Organization
Contact information
Practice address
30-16 30TH DR, LONG ISLAND CITY, NY 11102-1874
(408) 329-1304
Mailing address
1161 YORK AVE APT 3E, NEW YORK, NY 10065-7945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
244985
NY
Other
Enumeration date
10/15/2010
Last updated
10/19/2010
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