Organization
LONG ISLAND PEDIATRICS OF BRENTWOOD,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAAELDIN F MOAWAD M.D. (MEDICAL DIRECTOR)
(631) 813-2610
Entity
Organization
Contact information
Practice address
55 SECOND AVENUE, SUITE 9, BRENTWOOD, NY 11717
(631) 813-2610
(631) 813-2613
Mailing address
55 SECOND AVENUE, SUITE 9, BRENTWOOD, NY 11717
(631) 813-2610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/20/2010
Last updated
07/09/2019
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