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

Fountain Pulmonary PC

Organization Pulmonary Disease Physician · NPI 1902816051

Fountain Pulmonary PC is a Pulmonary Disease Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

800 Manor Rd Ste 3
Staten Island, NY 10314-7034
Phone: (347) 562-2753
Fax: (347) 289-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 212276 (NY)

Record details

NPI number1902816051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adebambo Olajitan — President · (347) 562-2753
NPI enumeratedAugust 9, 2006
Last updated in NPPESJuly 16, 2010
Mailing address800 Manor Rd, Suite 3, Staten Island, NY 10314-7034

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