Provider Demographics
NPI:1528133865
Name:PEDIATRIC ASSOCIATES OF NORTH RIVERDALE, P.C.
Entity type:Organization
Organization Name:PEDIATRIC ASSOCIATES OF NORTH RIVERDALE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HIRSCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-548-7300
Mailing Address - Street 1:3765 RIVERDALE AVE
Mailing Address - Street 2:SUITE #4
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1845
Mailing Address - Country:US
Mailing Address - Phone:718-548-7300
Mailing Address - Fax:718-548-4123
Practice Address - Street 1:3765 RIVERDALE AVE
Practice Address - Street 2:SUITE #4
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-1845
Practice Address - Country:US
Practice Address - Phone:718-548-7300
Practice Address - Fax:718-548-4123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY131573208000000X
NY163789208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty