Provider Demographics
NPI:1720042328
Name:DEVITO AND ALVARADO PEDIATRIC ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:DEVITO AND ALVARADO PEDIATRIC ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DEVITO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-833-3636
Mailing Address - Street 1:8008 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3802
Mailing Address - Country:US
Mailing Address - Phone:718-833-3636
Mailing Address - Fax:718-833-4428
Practice Address - Street 1:8008 3RD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3802
Practice Address - Country:US
Practice Address - Phone:718-833-3636
Practice Address - Fax:718-833-4428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-12
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherTAX ID