NPI: 1699859439 · FRESH MEADOWS, NY 11365 · Pediatrics Physician · NPI assigned 10/25/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $428.06 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13 | 13 | $428.06 |