Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Old Country Pediatrics PC

Organization Pediatrics Physician · NPI 1184726960

Old Country Pediatrics PC provides Pediatrics Physician services in Plainview, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

556 Old Country Rd
Plainview, NY 11803
Phone: (516) 938-3232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 181879 (NY)

Record details

NPI number1184726960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Bruzzone — President · (516) 938-3232
NPI enumeratedSeptember 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address556 Old Country Rd, Plainview, NY 11803

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