NPI: 1134129463 · FLORAL PARK, NY 11001 · Pediatrics Physician · NPI assigned 07/28/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $387.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14 | 14 | $387.20 |