NPI: 1285605857 · TROY, NY 12180 · Pediatric Adolescent Medicine Physician · NPI assigned 01/31/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $340.65 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13 | 13 | $340.65 |