Organization
FIVE TOWNS PEDIATRICS
Active
Organization
FIVE TOWNS PEDIATRICS
Active
Other names
Pediatric Healthcare of LI
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM I GREEN MD (MEDICAL DIRECTOR)
(516) 295-1200
Entity
Organization
Contact information
Practice address
145 FRANKLIN PL, WOODMERE, NY 11598-1218
(516) 295-1200
Mailing address
145 FRANKLIN PL, WOODMERE, NY 11598-1218
(516) 295-1200
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/02/2006
Last updated
06/26/2024
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