Organization
PM PEDIATRICS BH II, P.C.
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
101 E SWEDESFORD RD, WAYNE, PA 19087-1455
(610) 688-5437
(610) 688-3502
Mailing address
1 HOLLOW LN STE 301, NEW HYDE PARK, NY 11042-1215
(516) 207-7936
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
01/21/2025
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