Provider Demographics
NPI:1407874969
Name:RESPICAIR RESPIRATORY THERAPY PC
Entity Type:Organization
Organization Name:RESPICAIR RESPIRATORY THERAPY PC
Other - Org Name:RESPICAIR PC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:COOPER
Authorized Official - Last Name:MERLETTI
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:716-278-0204
Mailing Address - Street 1:766 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14301
Mailing Address - Country:US
Mailing Address - Phone:716-278-0204
Mailing Address - Fax:716-278-0205
Practice Address - Street 1:766 MAIN STREET
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301
Practice Address - Country:US
Practice Address - Phone:716-278-0204
Practice Address - Fax:716-278-0205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY8211266OtherINDEPENDENT HEALTH
NY000551399001OtherBCBS OF NY
NY02178816Medicaid
4099700001Medicare ID - Type Unspecified