Provider Demographics
NPI:1528396025
Name:WELCOME PEDIATRICS PLLC
Entity Type:Organization
Organization Name:WELCOME PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SVETLANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIVAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-258-9888
Mailing Address - Street 1:8631 14TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3413
Mailing Address - Country:US
Mailing Address - Phone:718-496-5126
Mailing Address - Fax:866-903-8106
Practice Address - Street 1:2287 NOSTRAND AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-3839
Practice Address - Country:US
Practice Address - Phone:718-258-9888
Practice Address - Fax:347-462-4257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-23
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY210760208000000X
NY210663208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty