Provider Type Icon

PARK AVENUE PULMONARY CARE PLLC NPI 1063624260


NPI Information

NPI: 1063624260
Provider Name: PARK AVENUE PULMONARY CARE PLLC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
1130 PARK AVENUE
SUITE #3
NEW YORK, NY
ZIP 10128
Phone: (212) 289-3627
Get Directions

PARK AVENUE PULMONARY CARE PLLC is a pulmonary disease internal medicine in New York, NY. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. PARK AVENUE PULMONARY CARE PLLC NPI is 1063624260. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1130 PARK AVENUE
SUITE #3
NEW YORK, NY
ZIP 10128
Phone: (212) 289-3627

The provider's authorized official is Louis R Depalo .
The authorized official title is Partner and has the following contact phone number (212) 289-3627.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 11/24/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary Disease155703NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WPA111MEDICARE PINNEW YORK
2C34732MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.