Provider Demographics
NPI:1801982236
Name:ASTHMA & ALLERGY MEDICAL CARE PC
Entity type:Organization
Organization Name:ASTHMA & ALLERGY MEDICAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUDHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-545-0094
Mailing Address - Street 1:68 NASSAU RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-3526
Mailing Address - Country:US
Mailing Address - Phone:631-423-5590
Mailing Address - Fax:
Practice Address - Street 1:68 NASSAU RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3526
Practice Address - Country:US
Practice Address - Phone:631-423-5590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03351668Medicaid
NY07200OtherGHI MEDICARE
NY07200Medicare PIN
NYWAWA791Medicare PIN