Provider Demographics
NPI:1952428823
Name:PEDIATRIC HEALTHCARE SOLUTIONS, P.C.
Entity Type:Organization
Organization Name:PEDIATRIC HEALTHCARE SOLUTIONS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:INNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:O'ROURKE
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:516-674-2121
Mailing Address - Street 1:3 SCHOOL ST
Mailing Address - Street 2:SUITE 101-A
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-2548
Mailing Address - Country:US
Mailing Address - Phone:516-674-2121
Mailing Address - Fax:516-674-2260
Practice Address - Street 1:3 SCHOOL ST
Practice Address - Street 2:SUITE 101-A
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-2548
Practice Address - Country:US
Practice Address - Phone:516-674-2121
Practice Address - Fax:516-674-2260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty