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Contact Information

EAST END PULMONARY CARE, P.C.
1025 ROANOKE AVE
RIVERHEAD, NY11901-2735
 Phone: 631-727-6717
 Fax: 631-953-0204
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EAST END PULMONARY CARE, P.C.

NPI # 1225059215
LBN Legal business name EAST END PULMONARY CARE, P.C.
Authorized official DANIEL MASSIAH - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2006
Last updated 10/05/2012 - About 14 years ago
Identifiers
NY License # 235602
NY Medicaid 2744154
NY Other 8VO44 BCBS GROUP #
NY Other 1861894 CIGNA ID #
NY Other 299268 GHI ID #
NY Other 223227P HIP ID #
NY Other AA73450 MDNY ID #
NY Other P00260961 RAILROAD MEDICARE
NY Other 2144859 VYTRA ID #
NY Other 235602OW WORKER'S COMP ID #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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