Provider Demographics
NPI:1285861641
Name:WESTBURY PEDIATRICS, PC
Entity Type:Organization
Organization Name:WESTBURY PEDIATRICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:PIASER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-997-2266
Mailing Address - Street 1:2147 VALENTINES RD
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-5848
Mailing Address - Country:US
Mailing Address - Phone:516-997-2266
Mailing Address - Fax:516-997-3068
Practice Address - Street 1:2147 VALENTINES RD
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-5848
Practice Address - Country:US
Practice Address - Phone:516-997-2266
Practice Address - Fax:516-997-3068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care