NPI: 1306929278 · PLAINVIEW, NY 11803 · Pediatrics Physician · NPI assigned 10/23/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 16 | $484.00 |
| 2022 | 15 | $595.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 31 | 31 | $1K |