MEDICARE: EAST END PEDIATRICS, P.C.

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	:	1760407571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST END PEDIATRICS, P.C.

Provider Business Mailing Address
First Line	:	200 PANTIGO PL
Second Line	:	SUITE E
City	:	EAST HAMPTON
State	:	NY
Zip	:	11937-5920
Country	:	US
Telephone Number	:	631-324-8030
Fax Number	:	631-324-8032

Provider Business Practice Location Address
First Line	:	200 PANTIGO PL
Second Line	:	SUITE E
City	:	EAST HAMPTON
State	:	NY
Zip	:	11937-5920
Country	:	US
Telephone Number	:	631-324-8030
Fax Number	:	631-324-8032

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GAIL SCHONFELD
Credential	:	M.D.
Telephone Number	:	631-324-8030

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	10/23/2024

Similar Medicare Providers

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Practice Location Address:

200 PANTIGO PL , STE E
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11937-5920

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1407896152 — DR. GEORGE PIERRE DEMPSEY M.D.
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1972603066 — DR. RALPH MILTON GIBSON JR. M.D.
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200 PANTIGO PL , SUITE H
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11937-5920

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1891872107 — LOUISE COLLINS M.D.
Practice Location Address:

200 PANTIGO PL , SUITE N
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1215091988 — LINDA ZAREMBA RNC, NP
Practice Location Address:

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1821146655 — MS. MEGAN WRIGHT NP
Practice Location Address:

200 PANTIGO PL , SUITE N
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