FOUNTAIN PULMONARY P.C
Organization (NPI-2)
Active
Internal Medicine, Pulmonary Disease
Provider Information
- NPI Number
1902816051- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 800 MANOR RD SUITE 3, STATEN ISLAND, NY, 103147034
- Phone
- (347) 562-2753
- Fax
- (347) 289-5100
Specialties & Taxonomies
Internal Medicine, Pulmonary Disease
Primary License: NY #212276