33D2007308 CLIA NUMBER - PINEHURST MEDICAL PC

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Laboratory Demographics

CLIA Number: 33D2007308

Facility Name: PINEHURST MEDICAL PC

Facility Address:
139 CENTRE STREET SUITE 802
NEW YORK, NY
ZIP 10013
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Facility Phone Number: 212 966-2808

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770802324

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	33D2007308
LAB Type	Physician Office
Facility Name	PINEHURST MEDICAL PC
Street	139 CENTRE STREET SUITE 802
City	NEW YORK
State	NY
ZIP	10013
Phone	212 966-2808
CertificateType	4
CertificateEffectiveDate	5/13/2022
CertificateExpirationDate	5/12/2024
FacilityType	Waiver

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