James, Pushpom Z

James, Pushpom Z is an individual health care provider with primary practice located at 2460 Hylan Blvd , Staten Island NY 10306-3117. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is her primary health care specialty. James, Pushpom Z can be contacted via phone (718) 226-5619.

Contact Information

Primary practice address
2460 Hylan Blvd Staten Island NY 10306-3117
Fax: (718) 226-5620
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01031819A Indiana
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 01031819A Indiana

Profile Details

NPI number 1790744035
LBN Legal business name James, Pushpom Z
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Sep 1st, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790744035 NPPES
New York MEDICAID 03811323

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