Individual provider · Type 1 NPI

Khalida Itriyeva, MD

Pediatric Adolescent Medicine Physician · New Hyde Park, NY

NPI number 1245523513 Active

Practice location

410 Lakeville Rd Ste 108
New Hyde Park, NY 11042

Fax (516) 465-5299

Mailing address

10525 67th Rd Apt 5H
Forest Hills, NY 11375-2398

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X266549 (NY)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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About NPI 1245523513

Khalida Itriyeva, MD's National Provider Identifier is 1245523513, issued on May 19, 2011. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in New Hyde Park, NY. The record was last updated on Aug 30, 2018.