Organization
PM PEDIATRICS OF SELDEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE MARIE LOPEZ (MANAGER CREDENTIALING/ENROLLMENT)
(516) 207-7936
Entity
Organization
Contact information
Practice address
239 MIDDLE COUNTRY RD, SELDEN, NY 11784-2516
(631) 696-5437
Mailing address
1 HOLLOW LN STE 301, NEW HYDE PARK, NY 11042-1215
(516) 207-7851
(516) 207-7851
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2009
Last updated
01/21/2025
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