Individual provider · Type 1 NPI

Datev Pidedjian, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Mineola, NY

NPI number 1699730424 Active

Practice location

259 1st St
Mineola, NY 11501-3957

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X194567 (NY)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1699730424

Datev Pidedjian, MD's National Provider Identifier is 1699730424, issued on Apr 17, 2006. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Mineola, NY. The record was last updated on Mar 17, 2021.