Organization
SOUTH ISLAND PEDIATRICS, N.Y.C., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL I WEILER M.D. (PRESIDENT)
(516) 569-0500
Entity
Organization
Contact information
Practice address
86 CARMAN AVE, CEDARHURST, NY 11516-1905
(516) 569-0500
(516) 569-0570
Mailing address
PO BOX 340, WOODMERE, NY 11598-0340
(516) 569-0500
(516) 569-0570
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
148634
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00890588
—
NY
Enumeration date
12/26/2006
Last updated
08/22/2020
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