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General NPI Number Information
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NPI Number | 1457031536
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Entity Type | Organization
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Legal Business Name | PERVAIZ MEDICAL PULMONARY CARE P.C.
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 1421 SAINT JOHNS PL
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City | BROOKLYN
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State | NY
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Zip | 11213-3809
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Country | US
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Telephone | 929-484-1236
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Fax |
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Provider Business Mailing Address
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Address Line | 10 HARBOR CT E
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City | ROSLYN
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State | NY
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Zip | 11576-2435
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Country | US
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Telephone | 718-641-1117
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Fax |
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Authorized Official
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Title or Position | FRONT OFFICE
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Name | MISS BANO RAYKHA
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Credential |
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Telephone | 929-484-1236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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