| Organization Name: | IN TOWN PEDIATRICS, PLLC |
| NPI Number: | 1215205893 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELENA ERIKA GAZZOLA-KRAENZLIN (OWNER) |
| Mailing Address: | 150 Purchase St Suite 8a Rye |
| State: | NY US |
| Postal Code: | 105802141 |
| Phone Number: | 9149679000 |
| Fax Number: | 9149679007 |
| NPI Enumeration Date: | 12/09/2011 |
| NPI Last Update Date: | 12/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 040193 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |