Organization
ALLERGY AND ASTHMA CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YALAMANCHILLI RAO M.D. (OWNER)
(718) 816-8200
Entity
Organization
Contact information
Practice address
896 TARGEE ST, STATEN ISLAND, NY 10304-4517
(718) 816-8200
(718) 816-0892
Mailing address
896 TARGEE ST, STATEN ISLAND, NY 10304-4517
(718) 816-8200
(718) 816-0892
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
116820
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116820
LICENSE
NY
Enumeration date
05/23/2007
Last updated
08/22/2020
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