Stationhouse Pediatrics

LBN: Sophia V. Leonida, Md Pc
Stationhouse Pediatrics is an health care organization with primary practice located at 2228 Black Rock Tpke Suite 211, Fairfield CT 06825-3237. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as the primary health care specialty. Sophia V. Leonida, Md Pc can be contacted via phone (203) 375-9350, or through Melito, Susan via phone (203) 375-9350.

Contact Information

Primary practice address
2228 Black Rock Tpke Suite 211 Fairfield CT 06825-3237
Phone: (203) 375-9350
Fax: (203) 375-8013
Website:
Map and Directions
Authorized official contact:
Name: Melito, Susan
Phone: (203) 375-9350

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 070195 Colorado

Profile Details

NPI number 1508241076
LBN Legal business name Sophia V. Leonida, Md Pc
DBA Doing business as Stationhouse Pediatrics
Authorized official Melito, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2015
Last updated Jul 27th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508241076 NPPES
Connecticut MEDICAID 004267383

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