MEDICARE: QUALITY PEDIATRICS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	194735	NY

General Provider Information

NPI Number	:	1558420026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY PEDIATRICS PC

Provider Business Mailing Address
First Line	:	235 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-4909
Country	:	US
Telephone Number	:	718-921-9220
Fax Number	:	718-491-3925

Provider Business Practice Location Address
First Line	:	235 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-4909
Country	:	US
Telephone Number	:	718-921-9220
Fax Number	:	718-491-3925

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HADI AHMAD
Credential	:	MD
Telephone Number	:	718-921-9220

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	08/22/2020

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