Provider Demographics
NPI:1457031536
Name:PERVAIZ MEDICAL PULMONARY CARE P.C.
Entity Type:Organization
Organization Name:PERVAIZ MEDICAL PULMONARY CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:PERVAIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-303-6047
Mailing Address - Street 1:1421 SAINT JOHNS PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-3809
Mailing Address - Country:US
Mailing Address - Phone:929-484-1236
Mailing Address - Fax:
Practice Address - Street 1:1421 SAINT JOHNS PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-3809
Practice Address - Country:US
Practice Address - Phone:929-484-1236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty