MEDICARE: PULMONARY AND SLEEP DISORDERS OF NEW YORK, P.C.

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	214470	NY

General Provider Information

NPI Number	:	1871772657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PULMONARY AND SLEEP DISORDERS OF NEW YORK, P.C.

Provider Business Mailing Address
First Line	:	2625 E 14TH ST STE 201
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3973
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2625 E 14TH ST STE 201
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3973
Country	:	US
Telephone Number	:	718-891-7800
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MARIANNA VINNIK
Credential	:
Telephone Number	:	718-891-7800

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	05/13/2013

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