Healthcare Provider Details

I. General information

NPI: 1548236037
Provider Name (Legal Business Name): CERTIFIED ALLERGY CONSULTANTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 SOUTHWOODS BLVD
ALBANY NY
12211-2554
US

IV. Provider business mailing address

8 SOUTHWOODS BLVD
ALBANY NY
12211-2554
US

V. Phone/Fax

Practice location:
  • Phone: 518-434-1446
  • Fax:
Mailing address:
  • Phone: 518-434-1446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State

VIII. Authorized Official

Name: DEE ADKINS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 518-429-2643