Provider Demographics
NPI:1033378310
Name:WOODLANDS PULMONARY ASSOCIATES LLP
Entity Type:Organization
Organization Name:WOODLANDS PULMONARY ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:CIUBOTARU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-409-2222
Mailing Address - Street 1:2016 BRONXDALE AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-3388
Mailing Address - Country:US
Mailing Address - Phone:718-409-2222
Mailing Address - Fax:718-918-1301
Practice Address - Street 1:128 ASHFORD AVE
Practice Address - Street 2:COMMUNITY HOSPITAL AT DOBBS FERRY
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1924
Practice Address - Country:US
Practice Address - Phone:914-693-0700
Practice Address - Fax:914-559-1191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212653174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty