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Organization

BALDWIN HARBAR PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICKI E JETTER MD (OWNER)
(516) 868-6100
Entity
Organization

Contact information

Practice address
860 ATLANTIC AVE, BALDWIN HARBOUR, NY 11510
(516) 868-6100
(516) 546-8621
Mailing address
860 ATLANTIC AVE, BALDWIN HARBOUR, NY 11510
(516) 868-6100
(516) 546-8621

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
07/23/2006
Last updated
08/22/2020
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