MEDICARE: ADVANCED PULMONARY AND SLEEP PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	219859	NY

General Provider Information

NPI Number	:	1437184942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED PULMONARY AND SLEEP PC

Provider Business Mailing Address
First Line	:	310 RICHMOND HILL RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-7585
Country	:	US
Telephone Number	:	718-370-7200
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 RICHMOND HILL RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-7585
Country	:	US
Telephone Number	:	718-370-7200
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KAYALVIZHI SAMBANDAM
Credential	:	M.D.
Telephone Number	:	718-370-7200

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	06/30/2010

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