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Sunnyside Pediatrics Llc
Medical Specialty Clinic/Center in Irvington, New Jersey
NPI 1114291721

Sunnyside Pediatrics Llc is a Medical Specialty Clinic/Center based in Irvington, NJ and is specialized in Medical Specialty. Sunnyside Pediatrics Llc practices in Irvington, NJ. The NPI Number for Sunnyside Pediatrics Llc is 1114291721 and holds a License No. MA06019 (New Jersey).

The current practice location address for Sunnyside Pediatrics Llc is 1182 Stuyvesant Ave, Irvington, NJ and can be reached out via phone at 973-399-0571 and via fax at 973-399-1555.

Location: 1182 Stuyvesant Ave, Irvington, NJ, 07111-1057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114291721
Provider Name
Sunnyside Pediatrics Llc
Credential
Provider Entity Type
Organization
Address
1182 Stuyvesant Ave, Irvington, NJ, 07111-1057
Phone Number
973-399-0571
Fax Number
973-399-1555
Provider Enumeration Date
02/28/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7191308 05 NJ
institution
Provider Business Practice Location Address Details
Address
1182 Stuyvesant Ave
City
Irvington
State
New Jersey
Zip
07111-1057
Phone Number
973-399-0571
Fax Number
973-399-1555
person
Provider Business Mailing Address Details
Address
1182 Stuyvesant Ave
City
Irvington
State
New Jersey
Zip
07111-1057
Phone Number
973-399-0571
Fax Number
973-399-1555
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
MA06019 (New Jersey)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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