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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DATEV PIDEDJIAN, MD

Active Sole Proprietor

Pediatric Emergency Medicine · MINEOLA, NY

Registration Details

NPI Number
1699730424
Provider Type
Individual
Gender
Male
NPI Issued
Apr 17, 2006 (20.012096829461 yrs)
Last Updated
Mar 17, 2021
License
194567 (NY)
Sole Proprietor
Yes

Practice Information

Address
259 1ST ST
MINEOLA, NY, 115013957
Browse NY providers · Browse ZIP 11501
Phone
5165726131
Primary Specialty
Pediatric Emergency Medicine
2080P0204X

Other Pediatric Emergency Medicine Providers in MINEOLA, NY

Name Credential NPI
CATHERINE R SELLINGER MD 1366525834
DR. KIM ANN RUTHERFORD M.D. 1013102649
TZVI H AARON MD 1417110883
KAITLIN BOEHM DO 1033573522
DR. HECTOR MANLIO ZELAYA DO 1588286967
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.