Island Pediatrics, P.C.

LBN: Island Pediatrics, P.C.
Island Pediatrics, P.C. is an health care organization with primary practice located at 125 Slosson Ave , Staten Island NY 10314-2517. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Island Pediatrics, P.C. can be contacted via phone (718) 390-0400, or through Mcmahon, Brian Robert via phone (719) 390-0400.

Contact Information

Primary practice address
125 Slosson Ave Staten Island NY 10314-2517
Phone: (718) 390-0400
Fax: (718) 390-0566
Website:
Map and Directions
Authorized official contact:
Name: Mcmahon, Brian Robert Doctor of Medicine (MD)
Phone: (719) 390-0400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 168902 New York

Profile Details

NPI number 1245583137
LBN Legal business name Island Pediatrics, P.C.
DBA Doing business as
Authorized official Mcmahon, Brian Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2012
Last updated Oct 17th, 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 1245583137 NPPES
New York MEDICAID 01848993

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