Basic Information
| Provider Information | |||||||||
| NPI: | 1437426889 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALLIED PHYSICIANS GROUP PEDIATRIC AFTER HOURS CENTER PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 68 S SERVICE RD | ||||||||
| Address2: | STE. 350 | ||||||||
| City: | MELVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117472354 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5169453000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 380 N BROADWAY | ||||||||
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| City: | JERICHO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117532115 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8666212769 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/29/2011 | ||||||||
| LastUpdateDate: | 10/21/2013 | ||||||||
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| AuthorizedOfficialLastName: | ENGLER | ||||||||
| AuthorizedOfficialFirstName: | KAREN | ||||||||
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| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT CONTRACTING AND PHYS | ||||||||
| AuthorizedOfficialTelephone: | 5169453000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.