Wantagh Pediatric Pllc
NPI #1437227865 in N Bellmore, New York
Provider Information
- NPI Number
- 1437227865
- Entity Type
- Organization
- Organization Name
- Wantagh Pediatric Pllc
- Primary Specialty
- Pediatrics
- Enumeration Date
- Dec 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2415 JERUSALEM AVE
- City
- N Bellmore
- State
- New York
- ZIP Code
- 11714
- Phone
- (516) 221-5151
Authorized Official
- Name
- PETER AXEL, MD
- Title
- PRESIDENT
- Phone
- (516) 221-5151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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