Provider Demographics
NPI:1720395320
Name:ALLERGY ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:ALLERGY ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:ISRAEL
Authorized Official - Last Name:WEISINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-777-6455
Mailing Address - Street 1:100 YORK ST
Mailing Address - Street 2:SUITE 2 F
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-5620
Mailing Address - Country:US
Mailing Address - Phone:203-777-6455
Mailing Address - Fax:203-789-1960
Practice Address - Street 1:100 YORK ST
Practice Address - Street 2:SUITE 2 F
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-5620
Practice Address - Country:US
Practice Address - Phone:203-777-6455
Practice Address - Fax:203-789-1960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-03
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT13422207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001134220-00Medicaid
CT001134220-00Medicaid
CT1720395320Medicare PIN