Four Seasons Pediatrics, Llc

LBN: Four Seasons Pediatrics, Llc
Four Seasons Pediatrics, Llc is an health care organization with primary practice located at 532 Moe Rd , Clifton Park NY 12065-3822. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Four Seasons Pediatrics, Llc can be contacted via phone (518) 383-2425, or through Miller, Harry Sellers via phone (518) 383-2425.

Contact Information

Primary practice address
532 Moe Rd Clifton Park NY 12065-3822
Phone: (518) 383-2425
Fax: (518) 383-3255
Website:
Map and Directions
Authorized official contact:
Name: Miller, Harry Sellers Doctor of Medicine (MD)
Phone: (518) 383-2425

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 182956 New York

Profile Details

NPI number 1750387817
LBN Legal business name Four Seasons Pediatrics, Llc
DBA Doing business as
Authorized official Miller, Harry Sellers Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2005
Last updated Mar 5th, 2012 - about 12 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 1750387817 NPPES
New York MEDICAID 01355619
New York MEDICAID 00347562

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