MEDICARE: ALLERGY & ASTHMA CARE OF ROCKLAND, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	163236	NY

General Provider Information

NPI Number	:	1295738003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLERGY & ASTHMA CARE OF ROCKLAND, P.C.

Provider Business Mailing Address
First Line	:	222 ROUTE 59
Second Line	:	STE 109
City	:	SUFFERN
State	:	NY
Zip	:	10901-5207
Country	:	US
Telephone Number	:	845-357-7277
Fax Number	:	845-357-5166

Provider Business Practice Location Address
First Line	:	222 ROUTE 59
Second Line	:	STE 109
City	:	SUFFERN
State	:	NY
Zip	:	10901-5207
Country	:	US
Telephone Number	:	845-357-7277
Fax Number	:	845-357-5166

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOEL H SELTER
Credential	:	MD
Telephone Number	:	845-357-7277

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	08/22/2020

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