NPI: 1992864938 · NORTH BABYLON, NY 11703 · Pediatrics Physician · NPI assigned 12/06/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $503.36 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14 | 13 | $503.36 |