Healthcare Provider Details

I. General information

NPI: 1699107557
Provider Name (Legal Business Name): HEIGHTS ALLERGY AND IMMUNOLOGY LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 08/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 WADSWORTH AVE SUITE 4
NEW YORK NY
10033-4828
US

IV. Provider business mailing address

PO BOX 1097
PARAMUS NJ
07653-1097
US

V. Phone/Fax

Practice location:
  • Phone: 212-781-5889
  • Fax: 212-781-6053
Mailing address:
  • Phone: 201-967-8425
  • Fax: 201-263-4665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number236320-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number236320-1
License Number StateNY

VIII. Authorized Official

Name: GOZEN TUYSUZOGLU
Title or Position: M.D.
Credential: M.D.
Phone: 212-781-5889