Organization
BRENTWOOD PEDIATRIC & ADOLESCENT ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN C ESPINOZA M.D. (PRESIDENT)
(631) 231-5070
Entity
Organization
Contact information
Practice address
1464 5TH AVE, BAY SHORE, NY 11706-4147
(631) 231-5070
(631) 435-3288
Mailing address
1464 5TH AVE, BAY SHORE, NY 11706-4147
(631) 231-5070
(631) 435-3288
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
224588-1
NY
Other
Enumeration date
07/31/2007
Last updated
05/15/2015
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