Provider Demographics
NPI:1386911691
Name:MILESTONES PEDIATRICS OF NEW YORK
Entity type:Organization
Organization Name:MILESTONES PEDIATRICS OF NEW YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:NGAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-513-6503
Mailing Address - Street 1:2431 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4448
Mailing Address - Country:US
Mailing Address - Phone:718-513-6503
Mailing Address - Fax:718-513-6504
Practice Address - Street 1:2431 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4448
Practice Address - Country:US
Practice Address - Phone:718-513-6503
Practice Address - Fax:718-513-6504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-30
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253523261QP2300X
NY248891261QP2300X
NY250958261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03091783Medicaid
NY03248313Medicaid
NY03251076Medicaid