OrganizationActive
Advanced Pediatrics, PC
NPI 1083815385 · Pediatrics Physician · Elmhurst, NY
Provider details
- NPI number
- 1083815385
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wilfredo Lao, Partner(718) 271-2600
- License
- 211204 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9436 59th Ave
Suite C4
Elmhurst, NY 11373-5151
Phone: (718) 271-2600
Fax: (718) 271-2766
Approximate (ZIP-level) locationGet directions
Mailing address
9436 59th Ave
Elmhurst, NY 11373-5151
Registry dates
- Enumerated
- 2007-05-31
- Last updated
- 2012-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.