Organization
P & P PEDIATRIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHA VIJAYKUMAR MD (PRESIDENT)
(718) 753-4564
Entity
Organization
Contact information
Practice address
88-10 175TH STREET, JAMAICA, NY 11432-5554
(718) 753-4564
Mailing address
8810 175TH ST, JAMAICA, NY 11432-5554
(718) 753-4564
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
217986
NY
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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