I M Pediatrics PC

NPI #1669456984 in Ridgewood, New York

Provider Information

NPI Number: 1669456984
Entity Type: Organization
Organization Name: I M Pediatrics PC
Primary Specialty: Pediatrics
Enumeration Date: Nov 30, 2005
Last Updated: Feb 24, 2012

Practice Location

Address: 6412 FRESH POND RD
City: Ridgewood
State: New York
ZIP Code: 11385-3331
Phone: (718) 497-1565

Authorized Official

Name: DR. IWONA KATARZYNA MIENKO, MD
Title: PRESIDENT
Phone: (718) 497-1565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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