Provider Demographics
NPI:1063503191
Name:ASTHMA & ALLERGY ASSOCIATES P.C.
Entity Type:Organization
Organization Name:ASTHMA & ALLERGY ASSOCIATES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERETTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:607-257-6563
Mailing Address - Street 1:904 E SHORE DR
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1026
Mailing Address - Country:US
Mailing Address - Phone:607-257-6563
Mailing Address - Fax:
Practice Address - Street 1:904 E SHORE DR
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1026
Practice Address - Country:US
Practice Address - Phone:607-257-6563
Practice Address - Fax:607-257-1420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY55088AMedicare PIN