Organization
MID NASSAU MEDICAL CARE FOR KIDZ, LLC
Active
Parent organization
MID NASSAU MEDICAL CARE FOR KID
Organization subpart
Yes
Provider details
NPI number
Legal business name
MID NASSAU MEDICAL CARE FOR KID
Authorized official
STEVEN PERRICK M.D. (M.D./PARTNER)
(516) 333-7272
Entity
Organization
Contact information
Practice address
530 OLD COUNTRY RD, SUITE 1B, WESTBURY, NY 11590-4500
(516) 333-7272
(516) 333-2519
Mailing address
530 OLD COUNTRY RD, SUITE 1B, WESTBURY, NY 11590-4500
(516) 333-7272
(516) 333-2519
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218647
—
NY
05
—
8307806
—
NY
Enumeration date
09/16/2015
Last updated
09/16/2015
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