Provider Demographics
NPI:1568409548
Name:ROCKLAND PULMONARY AND MEDICAL ASSOCIATES, PC
Entity Type:Organization
Organization Name:ROCKLAND PULMONARY AND MEDICAL ASSOCIATES, PC
Other - Org Name:ROCKLAND PULMONARY ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-353-5600
Mailing Address - Street 1:2 CROSFIELD AVENUE
Mailing Address - Street 2:STE 318
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994
Mailing Address - Country:US
Mailing Address - Phone:845-353-5600
Mailing Address - Fax:845-353-3474
Practice Address - Street 1:2 CROSFIELD AVENUE
Practice Address - Street 2:STE 318
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994
Practice Address - Country:US
Practice Address - Phone:845-353-5600
Practice Address - Fax:845-353-3474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1568409548OtherNPI
NY1568409548OtherNPI