Provider Demographics
NPI:1508332602
Name:CITYWIDE PEDIATRICS PLLC
Entity Type:Organization
Organization Name:CITYWIDE PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHUTOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:DAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-708-3618
Mailing Address - Street 1:353 E 83RD ST APT 21F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-4341
Mailing Address - Country:US
Mailing Address - Phone:718-708-3618
Mailing Address - Fax:
Practice Address - Street 1:4033 76TH ST STE 1
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-1036
Practice Address - Country:US
Practice Address - Phone:718-708-3618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty