MEDICARE: HAPPY KIDS PEDIATRICS PLLC

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	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1629801469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY KIDS PEDIATRICS PLLC

Provider Business Mailing Address
First Line	:	400 FORT WASHINGTON AVE APT 1C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10033-6837
Country	:	US
Telephone Number	:	212-923-8500
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 FORT WASHINGTON AVE APT 1C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10033-6837
Country	:	US
Telephone Number	:	212-923-8500
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	MARIA MOLINA
Credential	:	MD
Telephone Number	:	212-923-8500

Provider Enumeration Date	:	08/26/2024
Last Update Date	:	08/26/2024

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