Provider Demographics
NPI:1457503294
Name:PULMONARY ASSOCIATES OF QUEENS PC
Entity Type:Organization
Organization Name:PULMONARY ASSOCIATES OF QUEENS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHASHI
Authorized Official - Middle Name:A
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-830-1420
Mailing Address - Street 1:102- 01 66 RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375
Mailing Address - Country:US
Mailing Address - Phone:718-830-1420
Mailing Address - Fax:718-830-1419
Practice Address - Street 1:102- 01 66 ROAD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:718-830-1420
Practice Address - Fax:718-830-1419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
07265AMedicare PIN
07017GMedicare PIN