NPI: 1619029626 · WOODMERE, NY 11598 · Pediatrics Physician · NPI assigned 01/18/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $367.84 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14 | 14 | $367.84 |