Provider Demographics
NPI:1477597722
Name:ADVANCED OXY-MED RESPIRATORY THERAPY SERVICES PC
Entity Type:Organization
Organization Name:ADVANCED OXY-MED RESPIRATORY THERAPY SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-896-1295
Mailing Address - Street 1:831 ROUTE 52
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-1561
Mailing Address - Country:US
Mailing Address - Phone:845-896-1295
Mailing Address - Fax:
Practice Address - Street 1:831 ROUTE 52
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-1561
Practice Address - Country:US
Practice Address - Phone:845-896-1295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
97Z472Medicare PIN
97Z783Medicare PIN
NY97Z782Medicare PIN
97Z473Medicare PIN
NY97Z471Medicare PIN
NY97Z541Medicare PIN