Organization
MMC PEDIATRIC CRITICAL CARE FPP
Active
Organization
MMC PEDIATRIC CRITICAL CARE FPP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN SHELOV MD (CHAIRMAN, DEPARTMENT OF PEDIATRICS)
(718) 283-7500
Entity
Organization
Contact information
Practice address
4802 10TH AVENUE, BROOKLYN, NY 11219
(718) 283-8854
(718) 635-6331
Mailing address
977 48TH STREET, ATTENTION: KATHLYN ORLANDO, BROOKLYN, NY 11219
(718) 283-8015
(718) 635-7235
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up