Organization
RICHMOND PULMONARY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA VALLE (OFFICE MANAGER)
(718) 351-5515
Entity
Organization
Contact information
Practice address
2905 HYLAN BLVD, STATEN ISLAND, NY 10306-4653
(718) 351-1212
(718) 351-4114
Mailing address
2905 HYLAN BLVD, STATEN ISLAND, NY 10306-4653
(718) 351-1212
(718) 351-4114
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01972614
—
NY
Enumeration date
06/16/2006
Last updated
06/11/2015
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