Suffolk Pediatric Associates, P.C.

LBN: Suffolk Pediatric Associates, P.C.
Suffolk Pediatric Associates, P.C. is an health care organization with primary practice located at 1111 Montauk Hwy , West Islip NY 11795-4910. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Suffolk Pediatric Associates, P.C. can be contacted via phone (631) 661-2520, or through Woletsky, Ira P via phone (631) 661-2520.

Contact Information

Primary practice address
1111 Montauk Hwy West Islip NY 11795-4910
Phone: (631) 661-2520
Fax: (631) 669-6502
Website:
Map and Directions
Authorized official contact:
Name: Woletsky, Ira P Doctor of Medicine (MD)
Phone: (631) 661-2520

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1194719484
LBN Legal business name Suffolk Pediatric Associates, P.C.
DBA Doing business as
Authorized official Woletsky, Ira P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2005
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 1194719484 NPPES
New York MEDICAID 00839450

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