# ALLERGY & ASTHMA OF THE SOUTH SHORE PC

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

## Provider details

- **NPI number:** 1235403163
- **Authorized official:** DR. ALISSA HERSH M.D. (PHYSICIAN)
- **Authorized official phone:** (516) 341-7076

## Contact information

- **Practice address:** 949 CENTRAL AVE, SUITE 201, WOODMERE, NY 11598-1204
- **Practice address phone:** (516) 341-7076
- **Practice address fax:** (516) 341-7077
- **Mailing address:** 949 CENTRAL AVE, SUITE 201, WOODMERE, NY 11598-1204
- **Mailing address phone:** (516) 341-7076
- **Mailing address fax:** (516) 341-7077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 242900 | NY | Yes |

## Other

- **Enumeration date:** 02/23/2012
- **Last updated:** 02/23/2012