NPI: 1689743932 · WEST ISLIP, NY 11795 · Pediatrics Physician · NPI assigned 11/08/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $329.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12 | 12 | $329.12 |