NPI: 1376625202 · OCEANSIDE, NY 11572 · Pediatrics Physician · NPI assigned 10/19/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 24 | $613.48 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 24 | 24 | $613.48 |