Organization Name: | GARNERVILLE PEDIATRICS |
NPI Number: | 1619105954 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAUREEN F COONEY (OWNER) |
Mailing Address: | 124 Ramapo Rd Garnerville |
State: | NY US |
Postal Code: | 109231571 |
Phone Number: | 8452714794 |
Fax Number: | 8452714795 |
NPI Enumeration Date: | 06/25/2009 |
NPI Last Update Date: | 06/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 193032 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |