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 is a Pediatric Pulmonology Physician 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
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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