Healthcare Provider Details

I. General information

NPI: 1396661575
Provider Name (Legal Business Name): ALLERGY AND SKIN MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20507 HILLSIDE AVE
HOLLIS NY
11423-2222
US

IV. Provider business mailing address

20507 HILLSIDE AVE
HOLLIS NY
11423-2222
US

V. Phone/Fax

Practice location:
  • Phone: 347-918-5555
  • Fax: 718-504-7175
Mailing address:
  • Phone: 347-918-5555
  • Fax: 718-504-7175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: SHARON YEE
Title or Position: OWNER
Credential: MD
Phone: 347-918-5555