| Organization Name: | PEDERSON-KRAG CENTER INC |
| NPI Number: | 1013964170 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACQUELINE RIVERA-HERRERA (VP OF FINANCE FOR CLINICAL SERVICES) |
| Mailing Address: | 55 Horizon Dr Huntington |
| State: | NY US |
| Postal Code: | 117434436 |
| Phone Number: | 6319208000 |
| Fax Number: | 6319208167 |
| NPI Enumeration Date: | 05/27/2006 |
| NPI Last Update Date: | 03/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |