Provider Demographics
NPI:1376600643
Name:CHILDREN'S HEALTH SPECIALISTS, P.C.
Entity Type:Organization
Organization Name:CHILDREN'S HEALTH SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SELOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-253-6257
Mailing Address - Street 1:37 W GARDEN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-2662
Mailing Address - Country:US
Mailing Address - Phone:315-253-6257
Mailing Address - Fax:315-253-8693
Practice Address - Street 1:37 W GARDEN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-2662
Practice Address - Country:US
Practice Address - Phone:315-253-6257
Practice Address - Fax:315-253-8693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty