Organization
NEW WINDSOR PEDIATRICS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINOO PEDOEM-SHAPIRO MD (OWNER)
(845) 562-2191
Entity
Organization
Contact information
Practice address
448 TEMPLE HILL RD, NEW WINDSOR, NY 12553
(845) 562-2191
(845) 562-2295
Mailing address
448 TEMPLE HILL RD, NEW WINDSOR, NY 12553
(845) 562-2191
(845) 562-2295
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
171544
NY
208000000X
Pediatrics Physician
226275
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01155302
—
NY
Enumeration date
10/10/2006
Last updated
08/13/2014
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