# PERVAIZ MEDICAL PULMONARY CARE P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457031536
- **Authorized official:** MISS BANO RAYKHA (FRONT OFFICE)
- **Authorized official phone:** (929) 484-1236

## Contact information

- **Practice address:** 1421 SAINT JOHNS PL, BROOKLYN, NY 11213-3809
- **Practice address phone:** (929) 484-1236
- **Mailing address:** 10 HARBOR CT E, ROSLYN, NY 11576-2435
- **Mailing address phone:** (718) 641-1117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/24/2023
- **Last updated:** 11/13/2024