Organization
PEDIATRICS 2000AT 207 STREET PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN TAPIA MENDOZA MD (OWNER)
(212) 544-7777
Entity
Organization
Contact information
Practice address
515 W 207TH ST, NEW YORK, NY 10034-2645
(212) 544-7777
(212) 544-9660
Mailing address
515 W 207TH ST, NEW YORK, NY 10034-2645
(212) 544-7777
(212) 544-9660
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194828459
NPI
NY
01
—
1225131592
NPI
NY
01
—
1326141698
NPI
NY
01
—
13463520408
NPI
NY
01
—
1346352408
NPI
NY
01
—
1578666061
NPI
NY
01
—
1760586457
NPI
NY
01
—
1790779064
NPI
NY
Enumeration date
03/26/2007
Last updated
02/08/2008
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