Provider Demographics
NPI:1922633007
Name:DANZI & HAJDUK-BENNETT PEDIATRICS PLLC
Entity Type:Organization
Organization Name:DANZI & HAJDUK-BENNETT PEDIATRICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:HAJDUK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:631-864-6440
Mailing Address - Street 1:994 W JERICHO TPKE STE 202
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-3234
Mailing Address - Country:US
Mailing Address - Phone:631-864-6440
Mailing Address - Fax:631-864-6445
Practice Address - Street 1:994 W JERICHO TPKE STE 202
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-3234
Practice Address - Country:US
Practice Address - Phone:631-864-6440
Practice Address - Fax:631-864-6445
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DANZI & HAJDUK-BENNETT PEDIATRICS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty