# ADVANCED ALLERGY & ASTHMA FAMILY CARE PLLC

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

## Provider details

- **NPI number:** 1720366453
- **Authorized official:** NEHA MADHOK MD (PHYSICIAN)
- **Authorized official phone:** (732) 261-9786

## Contact information

- **Practice address:** 11 RALPH PL, SUITE 305, STATEN ISLAND, NY 10304-4401
- **Practice address phone:** (718) 273-9111
- **Practice address fax:** (718) 448-2003
- **Mailing address:** 11 RALPH PL STE 205, STATEN ISLAND, NY 10304-4405
- **Mailing address phone:** (718) 273-9111
- **Mailing address fax:** (718) 448-2003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 249365 | NY | Yes |

## Other

- **Enumeration date:** 07/29/2011
- **Last updated:** 11/12/2019