Organization
BICOUNTY PULMONARY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNIL MEHRA (OWNER)
(718) 894-8500
Entity
Organization
Contact information
Practice address
8404 PENELOPE AVE, MIDDLE VILLAGE, NY 11379-2433
(718) 894-8500
Mailing address
48 PARK DR E, SYOSSET, NY 11791-5214
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125195
LICENSE
NY
Enumeration date
06/15/2020
Last updated
01/12/2021
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