NPI: 1205366085 · LONG ISLAND CITY, NY 11101 · Pediatrics Physician · NPI assigned 06/14/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $311.24 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13 | 13 | $311.24 |