Organization
ALLERGY & ASTHMA SPECIALIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRADEEP SHARMA MD (OWNER)
(845) 454-1234
Entity
Organization
Contact information
Practice address
29 FOX STREET, SUITE 4, POUGHKEEPSIE, NY 12601
(845) 454-1234
(845) 454-1898
Mailing address
29 FOX STREET, SUITE 4, POUGHKEEPSIE, NY 12601
(845) 454-1234
(845) 454-1898
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
1115831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00526476
—
NY
Enumeration date
12/11/2006
Last updated
08/22/2020
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