NPI: 1851341127 · MASSAPEQUA, NY 11758 · Pediatric Adolescent Medicine Physician · NPI assigned 05/10/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 51 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 51 | 47 | $1K |