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General NPI Number Information
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NPI Number | 1598468084
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Entity Type | Organization
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Legal Business Name | ALLERGY & ASTHMA OF QUEENS PC
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Dates
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Enumeration Date | 03/23/2023
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 7031A 108TH ST STE 4
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City | FOREST HILLS
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State | NY
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Zip | 11375-4445
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Country | US
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Telephone | 347-439-2046
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Fax |
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Provider Business Mailing Address
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Address Line | 7031A 108TH ST STE 4
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City | FOREST HILLS
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State | NY
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Zip | 11375-4445
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IRINA KATAYEVA
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Credential | MD
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Telephone | 347-439-2046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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