Provider Demographics
NPI:1093175952
Name:YONG LUO ALLERGY AND ASTHMA P.C.
Entity Type:Organization
Organization Name:YONG LUO ALLERGY AND ASTHMA P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YONG
Authorized Official - Middle Name:
Authorized Official - Last Name:LUO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-475-9606
Mailing Address - Street 1:13329 41ST RD
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3670
Mailing Address - Country:US
Mailing Address - Phone:718-475-9606
Mailing Address - Fax:718-475-9607
Practice Address - Street 1:13329 41ST RD
Practice Address - Street 2:SUITE 1C
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3670
Practice Address - Country:US
Practice Address - Phone:718-475-9606
Practice Address - Fax:718-475-9607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267414207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty