Provider Demographics
NPI:1902067226
Name:NEW HEMPSTEAD PEDIATRICS, PC
Entity Type:Organization
Organization Name:NEW HEMPSTEAD PEDIATRICS, PC
Other - Org Name:NEW HAMPSHIRE PEDIATRICS, PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YAKOV
Authorized Official - Middle Name:S
Authorized Official - Last Name:KIFFEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-364-5437
Mailing Address - Street 1:10 WOODWIND LN
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1614
Mailing Address - Country:US
Mailing Address - Phone:845-364-5437
Mailing Address - Fax:845-362-0589
Practice Address - Street 1:16 LOUIS AVE
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2452
Practice Address - Country:US
Practice Address - Phone:845-364-5437
Practice Address - Fax:845-362-0589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY209664208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty