Fountain Pulmonary P.C

LBN: Fountain Pulmonary P.C
Fountain Pulmonary P.C is an health care organization with primary practice located at 800 Manor Rd Suite 3, Staten Island NY 10314-7034. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty. Fountain Pulmonary P.C can be contacted via phone (347) 562-2753, or through Olajitan, Adebambo Dolapo via phone (347) 562-2753.

Contact Information

Primary practice address
800 Manor Rd Suite 3 Staten Island NY 10314-7034
Phone: (347) 562-2753
Fax: (347) 289-5100
Website:
Map and Directions
Authorized official contact:
Name: Olajitan, Adebambo Dolapo M.D., FCCP
Phone: (347) 562-2753

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 212276 New York

Profile Details

NPI number 1902816051
LBN Legal business name Fountain Pulmonary P.C
DBA Doing business as
Authorized official Olajitan, Adebambo Dolapo M.D., FCCP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 16th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902816051 NPPES
New York MEDICAID 01883816

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