Healthcare Provider Details

I. General information

NPI: 1265643522
Provider Name (Legal Business Name): THE NATIONAL ASTHMA & ALLERGY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 01/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5722 7TH AVE
BROOKLYN NY
11220-3903
US

IV. Provider business mailing address

30 RIDINGS PKWY
PRINCETON NJ
08540-8639
US

V. Phone/Fax

Practice location:
  • Phone: 718-439-5958
  • Fax: 718-492-4931
Mailing address:
  • Phone: 732-422-3404
  • Fax: 732-422-3404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. EMERALD THAW
Title or Position: M.D
Credential:
Phone: 732-422-3404