Organization
BAYSIDE PEDIATRIC CARE P.C.
Active
Organization
BAYSIDE PEDIATRIC CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LI-MIN YANG M.D. (OFFICE MANAGER)
(718) 465-5888
Entity
Organization
Contact information
Practice address
22116 UNION TPKE, BAYSIDE, NY 11364-3641
(718) 465-5888
(718) 465-5889
Mailing address
22116 UNION TPKE, BAYSIDE, NY 11364-3641
(718) 465-5888
(718) 465-5889
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
240002
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02824739
—
NY
Enumeration date
03/21/2011
Last updated
03/06/2012
Update your record
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