Organization
ADVANCED ALLERGY AND ASTHMA CARE,PLLC
Active
Other names
ILENE J GOLDSTEIN MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILENE JOY GOLDSTEIN MD (PRESIDENT)
(631) 425-0808
Entity
Organization
Contact information
Practice address
158 E MAIN ST, HUNTINGTON, NY 11743-2988
(631) 425-0808
(631) 425-1383
Mailing address
158 E MAIN ST, HUNTINGTON, NY 11743-2988
(631) 425-0808
(631) 425-1383
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
179266
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01545133
—
NY
Enumeration date
05/07/2010
Last updated
05/07/2010
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