Individual
PUSHPOM Z JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2460 HYLAN BLVD, STATEN ISLAND, NY 10306-3117
(718) 226-5619
(718) 226-5620
Mailing address
131 9TH STREET, APT 1C, BROOKLYN, NY 11209
(347) 560-6044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01031819A
IN
2080P0214X
Pediatric Pulmonology Physician
Primary
01031819A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03811323
—
NY
Enumeration date
03/23/2006
Last updated
09/01/2016
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