NPI: 1144404567 · ISLANDIA, NY 11749 · Pediatrics Physician · NPI assigned 12/20/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $265.58 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12 | 12 | $265.58 |