Provider Demographics
NPI:1003038449
Name:METROPOLITAN PULMONARY, PC
Entity Type:Organization
Organization Name:METROPOLITAN PULMONARY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:PRISCO
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:516-488-2880
Mailing Address - Street 1:3003 NEW HYDE PARK RD
Mailing Address - Street 2:STE. 201
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1214
Mailing Address - Country:US
Mailing Address - Phone:516-488-2880
Mailing Address - Fax:516-488-2022
Practice Address - Street 1:3003 NEW HYDE PARK RD
Practice Address - Street 2:STE. 201
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1214
Practice Address - Country:US
Practice Address - Phone:516-488-2880
Practice Address - Fax:516-488-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty