Provider Demographics
NPI:1922184985
Name:WOODBURY PEDIATRICS ASSOCIATES, LLP
Entity Type:Organization
Organization Name:WOODBURY PEDIATRICS ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEDDY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZIRIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-576-0202
Mailing Address - Street 1:202 TERMINAL DR.
Mailing Address - Street 2:STE 2
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803
Mailing Address - Country:US
Mailing Address - Phone:516-576-0202
Mailing Address - Fax:516-576-8872
Practice Address - Street 1:202 TERMINAL DR
Practice Address - Street 2:STE 2
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-2312
Practice Address - Country:US
Practice Address - Phone:516-576-0202
Practice Address - Fax:516-576-8872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty