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Organization

AVALON ALLERGY AND ASTHMA

Active
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Organization

AVALON ALLERGY AND ASTHMA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHARZAD JASMIN ALAGHEBAND MD (MD/SOLO PRACTITIONER)
(516) 656-5555
Entity
Organization

Contact information

Practice address
25 GLEN COVE AVE, GLEN COVE, NY 11542-2805
(516) 656-5555
(516) 656-3555
Mailing address
25 GLEN COVE AVE, GLEN COVE, NY 11542-2805
(516) 656-5555

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary

Other

Enumeration date
12/11/2019
Last updated
12/11/2019
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