Healthcare Provider Details
I. General information
NPI: 1407898745
Provider Name (Legal Business Name): DELMAR PEDIATRICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/12/2006
Last Update Date: 02/26/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1220 NEW SCOTLAND RD SUITE 203
SLINGERLANDS NY
12159-9208
US
IV. Provider business mailing address
1220 NEW SCOTLAND RD SUITE 203
SLINGERLANDS NY
12159-9208
US
V. Phone/Fax
- Phone: 518-439-2273
- Fax: 518-439-2834
- Phone: 518-439-2273
- Fax: 518-439-2834
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ALEXANDER
CHARLES
BRAND
Title or Position: OWNER
Credential: MD
Phone: 518-439-2273