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Organization

ALLERGY CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUDWIG E KHOURY MD (SOLE MEMBER)
(315) 624-7911
Entity
Organization

Contact information

Practice address
2206 GENESEE ST, SUITE 303, UTICA, NY 13502-5829
(315) 624-7911
(315) 624-7912
Mailing address
2206 GENESEE ST, SUITE 303, UTICA, NY 13502-5829
(315) 624-7911
(315) 624-7912

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
241599
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02893667
NY
01
241599-1
STATE LICENSE NUMBER
NY
Enumeration date
11/04/2011
Last updated
11/04/2011
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