Organization
ISMAIL MEDICINE, PLLC
Active
Other names
The Alexandre Centre for Children's Health
Organization subpart
No
Provider details
NPI number
Authorized official
SHAREEN ISMAIL MD (MEDICAL DIRECTOR)
(315) 569-1612
Entity
Organization
Contact information
Practice address
8016 E GENESEE ST, FAYETTEVILLE, NY 13066-9692
(315) 569-1612
Mailing address
8016 E GENESEE ST, FAYETTEVILLE, NY 13066-9692
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
111NP0017X
Pediatric Chiropractor
—
—
1223P0221X
Pediatric Dentistry
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
171100000X
Acupuncturist
—
—
202D00000X
Integrative Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
2080P0216X
Pediatric Rheumatology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225700000X
Massage Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2278P3900X
Neonatal/Pediatric Certified Respiratory Therapist
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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