Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Pulmonary Medicine PC

Organization Pediatric Pulmonology Physician · NPI 1740657360

Pediatric Pulmonary Medicine PC provides Pediatric Pulmonology Physician services in Commack, New York. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

90 Fulton Blvd
Commack, NY 11725-1711 Not confirmed with CMS for 11 years — call before visiting
Phone: (516) 680-0924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Pulmonology Physician (primary) Taxonomy 2080P0214X

Record details

NPI number1740657360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dmitriy Vaysman — President · (516) 680-0924
NPI enumeratedAugust 31, 2015
Last updated in NPPESAugust 31, 2015
Mailing address311 Saint Nicholas Ave, Ridgewood, NY 11385-2296

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