Organization
ISLAND KIDS PEDIATRICS, P.C.
Active
Other names
DENIZ CEREB MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENIZ CEREB M.D. (PRESIDENT)
(718) 982-9001
Entity
Organization
Contact information
Practice address
2066 RICHMOND AVENUE, 1ST FLOOR, STATEN ISLAND, NY 10314-3916
(718) 982-9001
(718) 982-9008
Mailing address
2066 RICHMOND AVENUE, 1ST FLOOR, STATEN ISLAND, NY 10314-3916
(718) 982-9001
(718) 982-9008
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
200270
NY
261QP2300X
Primary Care Clinic/Center
200270
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01717335
—
NY
05
—
03120101
—
NY
Enumeration date
02/04/2007
Last updated
08/02/2010
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