| Pediaaids | |
|
9747 77th St Ozone Park NY 11416-1902 | |
| (718) 360-0907 | |
| (718) 395-1737 |
| Full Name | Pediaaids |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9747 77th St, Ozone Park, New York |
| Authorized Official Name and Position | Most Lutfun Nahar (PRESIDENT) |
| Authorized Official Contact | 9172845361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediaaids 8260 172nd St Jamaica NY 11432-2117 Ph: (718) 360-0907 | Pediaaids 9747 77th St Ozone Park NY 11416-1902 Ph: (718) 360-0907 |
| NPI Number | 1447649249 |
|---|---|
| Provider Enumeration Date | 01/16/2015 |
| Last Update Date | 01/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447649249 | NPI | - | NPPES |
| 03343102 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 258344 (New York) | Primary |
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