Organization · Type 2 NPI

Pavelass

Multi-Specialty Clinic/Center · Pomona, NY

NPI number 1376486605 Active

Practice location

5 Crystal Hill Dr
Pomona, NY 10970-2601

Fax (848) 391-3514

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

About NPI 1376486605

Pavelass's National Provider Identifier is 1376486605, issued on Apr 11, 2026. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Pomona, NY. The record was last updated on Apr 11, 2026.