| New York Allergy Asthma & Immunology Pc | |
|
2084 E 67th St, Brooklyn, NY 11234-6008 | |
| (718) 444-8014 | |
| (718) 444-8068 |
| Full Name | New York Allergy Asthma & Immunology Pc |
|---|---|
| Type | Facility |
| Speciality | Allergy & Immunology |
| Location | 2084 E 67th St, Brooklyn, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700312774 | NPI | - | NPPES |
| 02217114 | Medicaid | NY |
| Provider Name | Kenneth Etra |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225012313 PECOS PAC ID: 3274593280 Enrollment ID: I20041014000249 |
| Provider Name | Gad Avshalomov |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1609851617 PECOS PAC ID: 1052371069 Enrollment ID: I20041014000303 |
| Provider Name | Michael Cohen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467435081 PECOS PAC ID: 2062472087 Enrollment ID: I20041014000392 |
| Provider Name | Richard Etra |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679558118 PECOS PAC ID: 7012977044 Enrollment ID: I20041014000435 |
| Provider Name | Ronald Levy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760498042 PECOS PAC ID: 4284813833 Enrollment ID: I20110128000723 |
| Provider Name | Toniann M Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912090697 PECOS PAC ID: 9739340381 Enrollment ID: I20120409000494 |
| Provider Name | Katherine Vygon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639623234 PECOS PAC ID: 8628333416 Enrollment ID: I20180529000114 |
| Provider Name | Deanna Amber Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659858744 PECOS PAC ID: 3971855446 Enrollment ID: I20181010003326 |
| Provider Name | Jordyn Blake Popple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306463997 PECOS PAC ID: 5890109144 Enrollment ID: I20210127001279 |
| Mailing Address | Practice Location Address |
|---|---|
| New York Allergy Asthma & Immunology Pc Po Box 541, Oceanside, NY 11572-0541 Ph: (718) 444-8014 | New York Allergy Asthma & Immunology Pc 2084 E 67th St, Brooklyn, NY 11234-6008 Ph: (718) 444-8014 |