Healthcare Provider Details

I. General information

NPI: 1649296542
Provider Name (Legal Business Name): NUMC DEPARTMENT OF ALLERGY/IMMUNE, FPP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 HEMPSTEAD TPKE
EAST MEADOW NY
11554-1859
US

IV. Provider business mailing address

2201 HEMPSTEAD TPKE
EAST MEADOW NY
11554-1859
US

V. Phone/Fax

Practice location:
  • Phone: 516-572-6711
  • Fax:
Mailing address:
  • Phone: 516-572-6711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number2950002H
License Number StateNY

VIII. Authorized Official

Name: GARY BIE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 516-572-6711