Healthcare Provider Details
I. General information
NPI: 1215998992
Provider Name (Legal Business Name): PULMONARY AND CRITICAL CARE SERVICES,PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 NEW HAMPSHIRE AVE
TROY NY
12180-1753
US
IV. Provider business mailing address
2 NEW HAMPSHIRE AVE
TROY NY
12180-1753
US
V. Phone/Fax
- Phone: 518-272-0331
- Fax: 518-271-9007
- Phone: 518-272-0331
- Fax: 518-271-9007
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
WILLIAM
J
MURPHY
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 518-272-0331