NPI: 1477787612 · TROY, NY 12180 · Pediatrics Physician · NPI assigned 05/01/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $544.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13 | 12 | $544.40 |