Provider Demographics
NPI:1255542064
Name:PLAINVIEW PEDIATRICS, LLP
Entity type:Organization
Organization Name:PLAINVIEW PEDIATRICS, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUVANT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-931-2200
Mailing Address - Street 1:146 MANETTO HILL RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1324
Mailing Address - Country:US
Mailing Address - Phone:516-931-2200
Mailing Address - Fax:516-931-4047
Practice Address - Street 1:146 MANETTO HILL RD
Practice Address - Street 2:SUITE 120
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1324
Practice Address - Country:US
Practice Address - Phone:516-931-2200
Practice Address - Fax:516-931-4047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty