NPI: 1811915697 · ROCKVILLE CENTRE, NY 11570 · Pediatrics Physician · NPI assigned 07/18/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 16 | $228.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16 | 14 | $228.40 |