Organization
NEIGHBORHOOD PEDIATRICS OF SI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INNA KHVAL M.D. (PRESIDENT)
(718) 351-1949
Entity
Organization
Contact information
Practice address
3090 RICHMOND RD, STATEN ISLAND, NY 10306-1937
(718) 351-1949
(718) 351-2569
Mailing address
3090 RICHMOND RD, STATEN ISLAND, NY 10306-1937
(718) 351-1949
(718) 351-2569
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
214867
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02129555
—
NY
Enumeration date
12/29/2008
Last updated
12/29/2008
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