Organization
EASTERN PEDIATRICS,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANN AGBIM (OFFICE MANAGER)
(631) 462-2440
Entity
Organization
Contact information
Practice address
40 CANDLEWOOD PATH, DIX HILLS, NY 11746
(631) 462-2240
Mailing address
40 CANDLEWOOD PATH, DIX HILLS, NY 11746-5306
(631) 462-2440
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
193569
NY
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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