# LONG ISLAND ALLERGY AND ASTHMA PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003161571
- **Authorized official:** DR. DIANE H CYMERMAN M.D. (PRESIDENT)
- **Authorized official phone:** (631) 751-6262

## Contact information

- **Practice address:** 2500 NESCONSET HWY BLDG 17A, STONY BROOK, NY 11790-2563
- **Practice address phone:** (631) 751-6262
- **Practice address fax:** (631) 751-6268
- **Mailing address:** 2500 NESCONSET HWY BLDG 17A, STONY BROOK, NY 11790-2563
- **Mailing address phone:** (631) 751-6262
- **Mailing address fax:** (631) 751-6268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 161005 | NY | Yes |

## Other

- **Enumeration date:** 07/19/2012
- **Last updated:** 10/05/2012