NPI: 1669977401 · GARDEN CITY, NY 11530 · Student in an Organized Health Care Education/Training Program · NPI assigned 03/26/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $400.55 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13 | 13 | $400.55 |