Provider Demographics
NPI:1487638615
Name:D.G. RESPIRATORY ASSOCIATES, INC
Entity Type:Organization
Organization Name:D.G. RESPIRATORY ASSOCIATES, INC
Other - Org Name:BROOKLYN RESPIRATORY HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:KULESZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-331-7769
Mailing Address - Street 1:7903 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-1662
Mailing Address - Country:US
Mailing Address - Phone:718-331-7769
Mailing Address - Fax:718-331-3499
Practice Address - Street 1:7903 17TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-1662
Practice Address - Country:US
Practice Address - Phone:718-331-7769
Practice Address - Fax:718-331-3499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-01
Last Update Date:2010-01-13
Deactivation Date:2009-11-18
Deactivation Code:
Reactivation Date:2010-01-13
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00915077Medicaid
NY0140190001Medicare ID - Type UnspecifiedPROVIDER NUMBER