Pediatric Family Mdpc
NPI #1104975796 in Jackson Heights, New York
Provider Information
- NPI Number
- 1104975796
- Entity Type
- Organization
- Organization Name
- Pediatric Family Mdpc
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jan 10, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3752 82ND ST
- Address 2
- 2ND FL.
- City
- Jackson Heights
- State
- New York
- ZIP Code
- 11372-7032
- Phone
- (718) 779-5855
Authorized Official
- Name
- HECTOR ANTONIO VALENCIA, M.D.
- Title
- OWNER
- Phone
- (718) 779-5855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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