Provider Demographics
NPI:1477829588
Name:RESPIRO INC.
Entity Type:Organization
Organization Name:RESPIRO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DABIJA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:917-254-8340
Mailing Address - Street 1:837 NEILL AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-3042
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:837 NEILL AVE
Practice Address - Street 2:APT. 2
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-3042
Practice Address - Country:US
Practice Address - Phone:917-254-8340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003888261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY8991785OtherCIGNA