OLD COUNTRY PEDIATRICS PC – NPI #1184726960
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

OLD COUNTRY PEDIATRICS PC is a provider located in PLAINVIEW, NY. NPPES has assigned the NPI number 1184726960 to OLD COUNTRY PEDIATRICS PC on September 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OLD COUNTRY PEDIATRICS PC below.

NPI Profile for
OLD COUNTRY PEDIATRICS PC

NPI Number
1184726960
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OLD COUNTRY PEDIATRICS PC
Primary location
556 OLD COUNTRY RD
PLAINVIEW, NY 11803
Phone: (516) 938-3232 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHARLES BRUZZONE
PRESIDENT
Phone: (516) 938-3232
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
NY 181879

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.