Provider Demographics
NPI:1720558695
Name:RESPITORY THERAPY SERVICES PLLC
Entity Type:Organization
Organization Name:RESPITORY THERAPY SERVICES PLLC
Other - Org Name:RESPITORY THERAPY SERVICES PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RODERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:DODOO
Authorized Official - Suffix:
Authorized Official - Credentials:RRT, RPSGT
Authorized Official - Phone:347-385-3185
Mailing Address - Street 1:1650 SYCAMORE AVE STE 452FLOOR
Mailing Address - Street 2:
Mailing Address - City:BOHEMIA
Mailing Address - State:NY
Mailing Address - Zip Code:11716-1738
Mailing Address - Country:US
Mailing Address - Phone:631-675-0830
Mailing Address - Fax:
Practice Address - Street 1:448 GRIFFING AVE
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-3012
Practice Address - Country:US
Practice Address - Phone:347-385-3185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic