Eastside Pediatric Group, Llp

LBN: Eastside Pediatric Group, Llp
Eastside Pediatric Group, Llp is an health care organization with primary practice located at 5900 N Burdick St , East Syracuse NY 13057-9462. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Eastside Pediatric Group, Llp can be contacted via phone (315) 656-8750, or through Williams, Eleanor via phone (315) 656-8750.

Contact Information

Primary practice address
5900 N Burdick St East Syracuse NY 13057-9462
Phone: (315) 656-8750
Fax: (315) 656-8493
Website:
Map and Directions
Authorized official contact:
Name: Williams, Eleanor Doctor of Medicine (MD)
Phone: (315) 656-8750

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1134212319
LBN Legal business name Eastside Pediatric Group, Llp
DBA Doing business as
Authorized official Williams, Eleanor Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134212319 NPPES
New York MEDICAID 01397373

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