Provider Demographics
NPI:1497037279
Name:ARTHUR DELUCA MD PEDIATRIC PULMONOLOGY OF LONG ISLAND
Entity Type:Organization
Organization Name:ARTHUR DELUCA MD PEDIATRIC PULMONOLOGY OF LONG ISLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:DELUCA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-288-1474
Mailing Address - Street 1:3016 37TH ST
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3809
Mailing Address - Country:US
Mailing Address - Phone:718-288-1474
Mailing Address - Fax:718-278-2430
Practice Address - Street 1:3016 37TH ST
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-3809
Practice Address - Country:US
Practice Address - Phone:718-288-1474
Practice Address - Fax:718-278-2430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1915592080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric PulmonologyGroup - Single Specialty