Provider Demographics
NPI:1184815243
Name:ALLERGY ASSOCIATES OF YOUNGSTOWN INC
Entity Type:Organization
Organization Name:ALLERGY ASSOCIATES OF YOUNGSTOWN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:DERAMO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-758-5779
Mailing Address - Street 1:5701 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-2603
Mailing Address - Country:US
Mailing Address - Phone:330-758-5779
Mailing Address - Fax:
Practice Address - Street 1:5701 MARKET ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-2603
Practice Address - Country:US
Practice Address - Phone:330-758-5779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty