Organization
ALVIN N EDEN PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN N EDEN M.D. (PEDIATRICIAN)
(718) 261-8989
Entity
Organization
Contact information
Practice address
10721 QUEENS BLVD, SUITE 7, FOREST HILLS, NY 11375-4413
(718) 261-8989
(718) 261-8995
Mailing address
10721 QUEENS BLVD, SUITE 7, FOREST HILLS, NY 11375-4413
(718) 261-8989
(718) 261-8995
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
074400
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000024001
AMERIGROUP
NY
05
—
00986910
—
NY
01
—
313350101
HEALTH PLUS
NY
01
—
313440101
HEALTH PLUS
—
Enumeration date
09/17/2014
Last updated
09/17/2014
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