MEDICARE: PARK AVENUE PULMONARY ASSOCIATES

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	174400000X	Specialist	155703	NY

General Provider Information

NPI Number	:	1154501476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARK AVENUE PULMONARY ASSOCIATES

Provider Business Mailing Address
First Line	:	1130 PARK AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-1255
Country	:	US
Telephone Number	:	212-289-3637
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 PARK AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-1255
Country	:	US
Telephone Number	:	212-289-3637
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LOUIS DEPALO
Credential	:	MD
Telephone Number	:	212-289-3637

Provider Enumeration Date	:	11/05/2007
Last Update Date	:	11/05/2007

Similar Medicare Providers

1710030515 — NEAL SCHULTZ M.D.
Practice Location Address:

1130 PARK AVE
NEW YORK, NY
10128-1255

Practice Phone: 212-831-3365
Practice Fax:

1700150984 — DEBORA HESLIN PA
Practice Location Address:

1130 PARK AVE
NEW YORK, NY
10128-1255

Practice Phone: 212-369-9600
Practice Fax:

1255966214 — MELISSA COOPER RN
Practice Location Address:

1130 PARK AVE
NEW YORK, NY
10128-1255

Practice Phone: 212-369-9600
Practice Fax:

1407905458 — HEALTH SOS PT PC
Practice Location Address:

1255 5TH AVE APT 6L
NEW YORK, NY
10029-3996

Practice Phone: 914-400-1500
Practice Fax: 914-478-8781

1922207992 — DR. RODNEY CAMPOS-DELERME M.D.
Practice Location Address:

1255 5TH AVE , APT 5E
NEW YORK, NY
10029-3852

Practice Phone: 212-534-8059
Practice Fax:

1144413774 — KIARA MOORE
Practice Location Address:

1255 AMSTERDAM AVE
NEW YORK, NY
10027-5927

Practice Phone: 626-403-4370
Practice Fax:

Directions to “PARK AVENUE PULMONARY ASSOCIATES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.