NPI: 1588064018 · FRESH MEADOWS, NY 11365 · Registered Nurse · NPI assigned 09/03/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 15 | $286.95 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15 | 15 | $286.95 |