Healthcare Provider Details

I. General information

NPI: 1992783500
Provider Name (Legal Business Name): HIREN MUZUMDAR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 05/24/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3415 BAINBRIDGE AVE PEDIATRIC RESPIRATORY AND SLEEP MEDICINE
BRONX NY
10467-2403
US

IV. Provider business mailing address

111 E 210TH ST THIRD FLOOR
BRONX NY
10467-2401
US

V. Phone/Fax

Practice location:
  • Phone: 718-515-2330
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number2270311
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: