# ALLERGY & IMMUNOLOGY

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

## Provider details

- **NPI number:** 1730453929
- **Authorized official:** DR. HILAIRE J MEUISSEN MD (OWNER)
- **Authorized official phone:** (518) 439-7490

## Contact information

- **Practice address:** 785 DELAWARE AVE, DELMAR, NY 12054-9713
- **Practice address phone:** (518) 439-7490
- **Mailing address:** 785 DELAWARE AVE, DELMAR, NY 12054-9713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 1145251 | NY | Yes |

## Other

- **Enumeration date:** 03/06/2012
- **Last updated:** 03/06/2012