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Dr. Datev Pidedjian, MD
Pediatric Emergency Medicine (Pediatrics) Physician in Mineola, New York
NPI 1699730424

Datev Pidedjian is a Pediatric Emergency Medicine (Pediatrics) Physician based in Mineola, NY and is specialized in Pediatric Emergency Medicine. Datev Pidedjian practices in Mineola, NY and has the professional credentials of MD. The NPI Number for Datev Pidedjian is 1699730424 and holds a License No. 194567 (New York).

The current practice location address for Datev Pidedjian is 259 1St St, Mineola, NY and can be reached out via phone at 516-572-6131.

Location: 259 1St St, Mineola, NY, 11501-3957
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699730424
Provider Name
Datev Pidedjian
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
259 1St St, Mineola, NY, 11501-3957
Phone Number
516-572-6131
Fax Number
Provider Enumeration Date
04/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02061076 05 NY
institution
Provider Business Practice Location Address Details
Address
259 1St St
City
Mineola
State
New York
Zip
11501-3957
Phone Number
516-572-6131
Fax Number
person
Provider Business Mailing Address Details
Address
259 1St St
City
Mineola
State
New York
Zip
11501-3957
Phone Number
516-572-6131
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Emergency Medicine
Taxonomy
2080P0204X
License No.
194567 (New York)
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
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