Provider Demographics
NPI:1336851054
Name:MONARCH ALLERGY MEDICAL SERVICES OF FLORIDA PA
Entity Type:Organization
Organization Name:MONARCH ALLERGY MEDICAL SERVICES OF FLORIDA PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-248-1766
Mailing Address - Street 1:30 COOPER SQ FL 10
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-7120
Mailing Address - Country:US
Mailing Address - Phone:859-248-1766
Mailing Address - Fax:
Practice Address - Street 1:30 COOPER SQ FL 10
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-7120
Practice Address - Country:US
Practice Address - Phone:509-638-9401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-14
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty