Organization · Type 2 NPI
Long Island Specialist Pediatrics PC
Clinical Genetics (M.D.) Physician · Flushing, NY
NPI number
1053517557
Active
Practice location
13304 41st Ave # 1A
Flushing, NY 11355-3629
Fax (718) 353-7267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Genetics (M.D.) Physician Primary | 207SG0201X | None listed |
| Pediatrics Physician | 208000000X | None listed |
Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
About NPI 1053517557
Long Island Specialist Pediatrics PC's National Provider Identifier is 1053517557, issued on Jun 22, 2007. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Flushing, NY. The record was last updated on Sep 11, 2025.