Healthcare Provider Details
I. General information
NPI: 1376359687
Provider Name (Legal Business Name): NOZAD ALLERGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/10/2024
Last Update Date: 05/08/2025
Certification Date: 05/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
23 HOYT ST STE 5
STAMFORD CT
06905-5604
US
IV. Provider business mailing address
23 HOYT ST STE 5
STAMFORD CT
06905-5604
US
V. Phone/Fax
- Phone: 203-978-0072
- Fax: 203-978-1393
- Phone: 203-978-0072
- Fax: 203-978-1393
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207KA0200X |
| Taxonomy | Allergy Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CYRUS
NOZAD
Title or Position: PHYSICIAN
Credential: MD
Phone: 203-978-0072