Organization
PULMONARY HOME CARE SERVICES OF LI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK J DANIN RCP (PRESIDENT)
(631) 732-2753
Entity
Organization
Contact information
Practice address
60 CORBIN AVE, SUITE L, BAY SHORE, NY 11706-1046
(631) 243-0033
(631) 254-4536
Mailing address
58 WYANDOTTE ST, SELDEN, NY 11784-4028
(631) 732-2753
(631) 254-4536
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00930869
—
NY
Enumeration date
02/09/2007
Last updated
08/22/2020
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