South Island Pediatrics, P.C.

LBN: South Island Pediatrics, P.C.
South Island Pediatrics, P.C. is an health care organization with primary practice located at 86 Carman Ave , Cedarhurst NY 11516-1905. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. South Island Pediatrics, P.C. can be contacted via phone (516) 569-0500, or through Weiler, Mitchell I via phone (516) 569-0500.

Contact Information

Primary practice address
86 Carman Ave Cedarhurst NY 11516-1905
Phone: (516) 569-0500
Fax: (516) 569-0570
Website:
Map and Directions
Authorized official contact:
Name: Weiler, Mitchell I Doctor of Medicine (MD)
Phone: (516) 569-0500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 148634 New York

Profile Details

NPI number 1639233307
LBN Legal business name South Island Pediatrics, P.C.
DBA Doing business as
Authorized official Weiler, Mitchell I Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 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 1639233307 NPPES
New York MEDICAID 00890588

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