Organization
ADVANCED ALLERGY & ASTHMA ASSESSMENT & DIAGNOSTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES A SHAPIRO MD (PRESIDENT)
(718) 224-7600
Entity
Organization
Contact information
Practice address
202-28 45TH AVENUE, BAYSIDE, NY 11361-2540
(718) 224-7600
(718) 224-0593
Mailing address
202-28 45TH AVENUE, BAYSIDE, NY 11361-2540
(718) 224-7600
(718) 224-0593
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
187008
NY
2080P0201X
Pediatric Allergy/Immunology Physician
187008
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01523308
—
NY
Enumeration date
11/23/2010
Last updated
11/23/2010
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