33D0686471 CLIA NUMBER - NORTHERN MEDICAL SPECIALISTS PC

Laboratory Demographics

CLIA Number: 33D0686471

Facility Name: NORTHERN MEDICAL SPECIALISTS PC

Facility Address:
888 ROUTE 6
MAHOPAC, NY
ZIP 10541
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Facility Phone Number: 845 628-1492

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1538260344

Taxonomy: 207RP1001X - Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

CLIA Record

Field Name	Field Value
CLIA Number	33D0686471
LAB Type	Physician Office
Facility Name	NORTHERN MEDICAL SPECIALISTS PC
Street	888 ROUTE 6
City	MAHOPAC
State	NY
ZIP	10541
Phone	845 628-1492
CertificateType	4
CertificateEffectiveDate	4/29/2024
CertificateExpirationDate	4/28/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024