Provider Demographics
NPI:1174755847
Name:TOTS TO TEENS PEDIATRICS, P.C.
Entity type:Organization
Organization Name:TOTS TO TEENS PEDIATRICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VEENA
Authorized Official - Middle Name:SANKAPPANAVAR
Authorized Official - Last Name:GANGASANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-896-8370
Mailing Address - Street 1:841 ROUTE 52 STE 3
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-1547
Mailing Address - Country:US
Mailing Address - Phone:845-896-8370
Mailing Address - Fax:845-896-1992
Practice Address - Street 1:841 ROUTE 52 STE 3
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-1547
Practice Address - Country:US
Practice Address - Phone:845-896-8370
Practice Address - Fax:845-896-1992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-14
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229829208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty