Provider Type Icon

NEW YORK ALLERGY ASTHMA & IMMUNOLOGY PC NPI 1700312774


NPI Information

NPI: 1700312774
Provider Name: NEW YORK ALLERGY ASTHMA & IMMUNOLOGY PC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization

CLIA Number: 33D2269672

Address:
2084 E 67TH ST
BROOKLYN, NY
ZIP 11234
Phone: (718) 444-8014
Get Directions

NEW YORK ALLERGY ASTHMA & IMMUNOLOGY PC is an allergy immunology in Brooklyn, NY. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. NEW YORK ALLERGY ASTHMA & IMMUNOLOGY PC NPI is 1700312774. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2084 E 67TH ST
BROOKLYN, NY
ZIP 11234-008
Phone: (718) 444-8014
Fax: (718) 444-8068

The provider's authorized official is Gad Avshalomov .
The authorized official title is President and has the following contact phone number (718) 444-8014.

The CLIA number assigned to this NPI record is 33D2269672 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 4/30/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredNo
2174400000XSpecialistNo
3207K00000XAllergy & ImmunologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102217114MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.