NPI: 1275590697 · SMITHTOWN, NY 11787 · Pediatrics Physician · NPI assigned 04/28/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 15 | $638.55 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15 | 15 | $638.55 |