Clarkstown Pulmonary Associates PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

CLARKSTOWN PULMONARY ASSOCIATES PC

Practice address

51-55 Route 9W
West Haverstraw, NY 10993-1912

Phone

(845) 786-4060

Fax

(845) 786-4066

NPI assigned

Jan 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Thomas Pellicone, MD

Title

Physician Owner

Phone

(845) 786-4060

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1003968918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51-55 ROUTE 9W",
            "city": "WEST HAVERSTRAW",
            "state": "NY",
            "postal_code": "109931912",
            "telephone_number": "845-786-4060",
            "fax_number": "845-786-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51-55 ROUTE 9W",
            "city": "WEST HAVERSTRAW",
            "state": "NY",
            "postal_code": "109931912",
            "telephone_number": "845-786-4060",
            "fax_number": "845-786-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSTOWN PULMONARY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "PELLICONE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "845-786-4060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01243741",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Caro
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• Kaitlyn Cashman
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• Cara Christophides, COTA
• CLV Rehabilitation, PLLC
• David Colarusso, D.C.
• Kristen Coseo, MS CCC-SLP
• Felicia Cosman, M.D.
• Jill Cotier

• Pulmonary Disease Physician in West Haverstraw, NY
• Providers in West Haverstraw, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.