Organization
INTERNATIONAL PEDIATRICS PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR PERALTA MD (EXECUTIVE DIRECTOR)
(718) 334-6716
Entity
Organization
Contact information
Practice address
9320A ROOSEVELT AVENUE, 2ND. FLOOR, JACKSON HEIGHTS, NY 11372-8012
(718) 334-6700
Mailing address
9320A ROOSEVELT AVENUE, 2ND. FLOOR, JACKSON HEIGHTS, NY 11372-8012
(718) 334-6700
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
02/10/2012
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