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

Pediatric and Adolescent Medicine

Organization Pediatric Adolescent Medicine Physician · NPI 1073612768

Pediatric and Adolescent Medicine provides Pediatric Adolescent Medicine Physician services in New York, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

390 W End Ave
New York, NY 10024-6107
Phone: (212) 787-1444
Fax: (212) 799-8620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1073612768
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Max Kahn — Senior Partner In Practice · (212) 787-1444
NPI enumeratedSeptember 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address390 W End Ave, New York, NY 10024-6107

Other providers in New York