Provider Demographics
NPI:1558311290
Name:PULMONARY MEDICINE AND SLEEP DISORDERS ASSOCIATES PC
Entity Type:Organization
Organization Name:PULMONARY MEDICINE AND SLEEP DISORDERS ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LOMBARDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-680-3800
Mailing Address - Street 1:50 ROSE PL
Mailing Address - Street 2:2ND FLOOR SUITE A
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-5312
Mailing Address - Country:US
Mailing Address - Phone:718-680-3800
Mailing Address - Fax:718-680-0633
Practice Address - Street 1:9101 4TH AVE
Practice Address - Street 2:1F SUITE C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-6368
Practice Address - Country:US
Practice Address - Phone:718-680-3800
Practice Address - Fax:718-680-0633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY159753207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02681712Medicaid
NYWCW241Medicare PIN