Organization
STARX ASTHMA & ALLERGY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD BIELORY M.D. (MEMBER)
(973) 912-9817
Entity
Organization
Contact information
Practice address
400 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-2515
(973) 912-9817
Mailing address
559 LIDO LN, WOODMERE, NY 11598-1522
(516) 721-8205
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018274
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018274
NEW YORK LICENSE
NY
Enumeration date
02/10/2015
Last updated
02/10/2015
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