Boston Road Pediatrics, Pc
LBN: Boston Pediatrics, Pllc
Boston Road Pediatrics, Pc is an health care organization with primary practice located at 1262 Boston Rd Suite 1, Bronx NY 10456-3602. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Boston Pediatrics, Pllc can be contacted via phone (718) 617-2500, or through Cornielle, Jorge Luis via phone (718) 617-2500.
Contact Information
Primary practice address
1262 Boston Rd Suite 1
Bronx NY 10456-3602
Phone: (718) 617-2500
Fax: (718) 617-0500
Website:
Authorized official contact:
Name: Cornielle, Jorge Luis Doctor of Medicine (MD)
Phone: (718) 617-2500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 214716 | New York |
Profile Details
| NPI number | 1275724767 |
|---|---|
| LBN Legal business name | Boston Pediatrics, Pllc |
| DBA Doing business as | Boston Road Pediatrics, Pc |
| Authorized official | Cornielle, Jorge Luis Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 8th, 2007 |
| Last updated | Jan 31st, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275724767 | NPPES |
| New York | MEDICAID | 03426235 | |
| New York | MEDICAID | 02087341 | |
| New York | MEDICAID | 03305057 | |
| New York | MEDICAID | 02269730 |
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