Provider Demographics
NPI:1013075696
Name:BREATHE-EASY PULMONARY HOME CARE, INC.
Entity Type:Organization
Organization Name:BREATHE-EASY PULMONARY HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-860-0520
Mailing Address - Street 1:PO BOX 1659
Mailing Address - Street 2:GRACIE SQUARE STATION
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0054
Mailing Address - Country:US
Mailing Address - Phone:212-860-0520
Mailing Address - Fax:
Practice Address - Street 1:119 E 124TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-1934
Practice Address - Country:US
Practice Address - Phone:212-996-3575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01143237Medicaid
NY0280720001Medicare ID - Type UnspecifiedPROVIDER NUMBER