Organization
ILA SUKHADIA, MEDICAL, P.C.
Active
Other names
Progressive Pediatrics, Jitendra Sukhadia, M.D.P.C. DBA Progressive Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILA JITENDRA SUKHADIA MD (PRESIDENT)
(718) 948-3400
Entity
Organization
Contact information
Practice address
1235 ARDEN AVE, STATEN ISLAND, NY 10312-4148
(718) 948-3400
(718) 966-2560
Mailing address
1235 ARDEN AVE, STATEN ISLAND, NY 10312-4148
(718) 948-3400
(718) 966-2560
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
249019
NY
Other
Enumeration date
06/23/2008
Last updated
08/06/2019
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