Provider Demographics
NPI:1205406881
Name:EAST END RESPIRATORY THERAPY PC
Entity Type:Organization
Organization Name:EAST END RESPIRATORY THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEPF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-790-9436
Mailing Address - Street 1:PO BOX 1516
Mailing Address - Street 2:
Mailing Address - City:SOUTHOLD
Mailing Address - State:NY
Mailing Address - Zip Code:11971-0939
Mailing Address - Country:US
Mailing Address - Phone:631-790-9436
Mailing Address - Fax:
Practice Address - Street 1:700 OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-2129
Practice Address - Country:US
Practice Address - Phone:631-790-9436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-28
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Single Specialty