New York Allergy Asthma & Immunology Pc | |
2084 E 67th St, Brooklyn, NY 11234-6008 | |
(718) 444-8014 | |
(718) 444-8068 |
Full Name | New York Allergy Asthma & Immunology Pc |
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Type | Facility |
Speciality | Allergy & Immunology |
Location | 2084 E 67th St, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700312774 | NPI | - | NPPES |
02217114 | Medicaid | NY |
Provider Name | Kenneth Etra |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1225012313 PECOS PAC ID: 3274593280 Enrollment ID: I20041014000249 |
Provider Name | Gad Avshalomov |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1609851617 PECOS PAC ID: 1052371069 Enrollment ID: I20041014000303 |
Provider Name | Michael Cohen |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1467435081 PECOS PAC ID: 2062472087 Enrollment ID: I20041014000392 |
Provider Name | Richard Etra |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1679558118 PECOS PAC ID: 7012977044 Enrollment ID: I20041014000435 |
Provider Name | Ronald Levy |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1760498042 PECOS PAC ID: 4284813833 Enrollment ID: I20110128000723 |
Provider Name | Toniann M Savage |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912090697 PECOS PAC ID: 9739340381 Enrollment ID: I20120409000494 |
Provider Name | Katherine Vygon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639623234 PECOS PAC ID: 8628333416 Enrollment ID: I20180529000114 |
Provider Name | Deanna Amber Spence |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659858744 PECOS PAC ID: 3971855446 Enrollment ID: I20181010003326 |
Provider Name | Jordyn Blake Popple |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306463997 PECOS PAC ID: 5890109144 Enrollment ID: I20210127001279 |
Provider Name | Elana W Avshalomov |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1255062022 PECOS PAC ID: 2062896509 Enrollment ID: I20220831003196 |
Mailing Address | Practice Location Address |
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New York Allergy Asthma & Immunology Pc Po Box 541, Oceanside, NY 11572-0541 Ph: (718) 444-8014 | New York Allergy Asthma & Immunology Pc 2084 E 67th St, Brooklyn, NY 11234-6008 Ph: (718) 444-8014 |