Organization
GOOD CARE PEDIATRIC LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILYA DAREVSKAYA DO (DOCTOR)
(718) 891-1551
Entity
Organization
Contact information
Practice address
2647 CONEY ISLAND AVE, BROOKLYN, NY 11223-5502
(718) 891-1551
(718) 368-1177
Mailing address
2647 CONEY ISLAND AVE, BROOKLYN, NY 11223-5502
(718) 891-1551
(718) 368-1177
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
208922
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01884293
—
NY
Enumeration date
12/04/2007
Last updated
12/04/2007
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