Healthcare Provider Details

I. General information

NPI: 1669535241
Provider Name (Legal Business Name): PULMONARY & SLEEP SPECIALISTS OF SOUTHERN WESTCHESTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 01/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2365 BOSTON POST RD
LARCHMONT NY
10538-3500
US

IV. Provider business mailing address

2365 BOSTON POST RD
LARCHMONT NY
10538-3500
US

V. Phone/Fax

Practice location:
  • Phone: 914-740-3602
  • Fax: 914-654-4971
Mailing address:
  • Phone: 914-740-3602
  • Fax: 914-654-4971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MS. MAGGIE IRIZARRY
Title or Position: BILLING DIRECTOR
Credential:
Phone: 914-740-3602