Provider Demographics
NPI:1780748442
Name:ADVANCED ALLERGY AND ASTHMA ASSOCIATES, P.C.
Entity type:Organization
Organization Name:ADVANCED ALLERGY AND ASTHMA ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SIMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-924-7908
Mailing Address - Street 1:147 DUANE ST
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-6301
Mailing Address - Country:US
Mailing Address - Phone:212-924-7908
Mailing Address - Fax:212-588-1535
Practice Address - Street 1:147 DUANE ST
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-6301
Practice Address - Country:US
Practice Address - Phone:212-924-7908
Practice Address - Fax:212-588-1535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207668207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEW791Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER
NY5N8451Medicare ID - Type UnspecifiedPROVIDER NUMBER
NYH96538Medicare UPIN