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General NPI Number Information
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NPI Number | 1194657049
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Entity Type | Organization
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Legal Business Name | PEDIATRICS & OB/GYN OF NY PC
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 45 LUDLOW ST STE 702
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City | YONKERS
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State | NY
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Zip | 10705-1951
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Country | US
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Telephone | 914-966-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 13 DENNIS LN
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City | PLEASANTVILLE
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State | NY
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Zip | 10570-1029
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Country | US
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Telephone | 347-749-4439
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMMANUEL DIAZ GUERRERO
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Credential | MD
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Telephone | 347-749-4439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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