CLARKSTOWN PULMONARY ASSOCIATES PC NPI 1003968918

NPI Information

  • NPI: 1003968918
  • Provider Name: CLARKSTOWN PULMONARY ASSOCIATES PC
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Organization
  • Address: 51-55 ROUTE 9W
    WEST HAVERSTRAW, NY
    ZIP 10993
  • Phone: (845) 786-4060

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NPI Details

CLARKSTOWN PULMONARY ASSOCIATES PC is a pulmonary disease internal medicine in West Haverstraw, NY. The provider is 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. CLARKSTOWN PULMONARY ASSOCIATES PC NPI is 1003968918. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

51-55 ROUTE 9W
WEST HAVERSTRAW, NY
ZIP 10993-912
Phone: (845) 786-4060
Fax: (845) 786-4066

The provider's authorized official is John Thomas Pellicone .
The authorized official title is Physician Owner and has the following contact phone number (845) 786-4060.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 1/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101243741MEDICAIDNEW YORK
2W21041MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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