NPI: 1114115854 · LEVITTOWN, NY 11756 · Pediatrics Physician · NPI assigned 10/09/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 19 | $452.56 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 19 | 19 | $452.56 |