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ADVANCED ASTHMA AND ALLERGY OF NNY PLLC NPI 1760701783


NPI Information

NPI: 1760701783
Provider Name: ADVANCED ASTHMA AND ALLERGY OF NNY, PLLC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization

CLIA Number: 33D2009544

Address:
19316 US ROUTE 11
BUILDING IV, SUITE C
WATERTOWN, NY
ZIP 13601
Phone: (315) 681-4192
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ADVANCED ASTHMA AND ALLERGY OF NNY, PLLC is an allergy immunology in Watertown, 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. ADVANCED ASTHMA AND ALLERGY OF NNY, PLLC NPI is 1760701783. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19316 US ROUTE 11
BUILDING IV, SUITE C
WATERTOWN, NY
ZIP 13601-337
Phone: (315) 681-4192

The provider's authorized official is Dariusz Chrostowski .
The authorized official title is Owner/director and has the following contact phone number (315) 681-4192.

The CLIA number assigned to this NPI record is 33D2009544 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2010 and was last updated on 5/4/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & Immunology237708NEW YORKYes

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: 5/5/2024

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