Healthcare Provider Details

I. General information

NPI: 1891247987
Provider Name (Legal Business Name): NYC PEDIATRICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2016
Last Update Date: 06/12/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 3RD AVENUE SUITE 301
BRONX NY
10455
US

IV. Provider business mailing address

2825 3RD AVENUE SUITE 301
BRONX NY
10455
US

V. Phone/Fax

Practice location:
  • Phone: 646-661-2442
  • Fax: 347-464-0444
Mailing address:
  • Phone: 646-661-2442
  • Fax: 347-464-0444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANCISCO J. ALONSO
Title or Position: OFFICER/MEDICAL DIRECTOR
Credential: MD
Phone: 646-661-2442