Provider Demographics
NPI:1619290160
Name:ALLERGY AND IMMUNOLOGY PLUS FAMILY HEALTH P.C.
Entity Type:Organization
Organization Name:ALLERGY AND IMMUNOLOGY PLUS FAMILY HEALTH P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LOWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIARAMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-666-3533
Mailing Address - Street 1:2364 FREDERICK DOUGLASS BLVD
Mailing Address - Street 2:1 FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-3640
Mailing Address - Country:US
Mailing Address - Phone:212-666-3533
Mailing Address - Fax:
Practice Address - Street 1:2364 FREDERICK DOUGLASS BLVD
Practice Address - Street 2:1 FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-3640
Practice Address - Country:US
Practice Address - Phone:212-666-3533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-11
Last Update Date:2010-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY093763174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty