Pediatric Plaza

LBN: Edgar Flores-Castillo, Md Pc
Pediatric Plaza is an health care organization with primary practice located at 4053 75Th St , Elmhurst NY 11373-1011. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Edgar Flores-Castillo, Md Pc can be contacted via phone (718) 426-6270, or through Flores-Castillo, Edgar Antonio via phone (718) 426-6270.

Contact Information

Primary practice address
4053 75Th St Elmhurst NY 11373-1011
Phone: (718) 426-6270
Fax: (718) 426-6341
Website:
Map and Directions
Authorized official contact:
Name: Flores-Castillo, Edgar Antonio Doctor of Medicine (MD)
Phone: (718) 426-6270

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 211365 New York

Profile Details

NPI number 1669735031
LBN Legal business name Edgar Flores-Castillo, Md Pc
DBA Doing business as Pediatric Plaza
Authorized official Flores-Castillo, Edgar Antonio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2012
Last updated Jun 20th, 2012 - about 13 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 1669735031 NPPES
New York MEDICAID 01867376

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