Provider Demographics
NPI:1285711069
Name:MANHASSET ALLERGY & ASTHMA ASSOC,LLP
Entity type:Organization
Organization Name:MANHASSET ALLERGY & ASTHMA ASSOC,LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:NEIL
Authorized Official - Last Name:CORRIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-365-6077
Mailing Address - Street 1:1129 NORTHERN BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3022
Mailing Address - Country:US
Mailing Address - Phone:516-365-6077
Mailing Address - Fax:516-365-6137
Practice Address - Street 1:1129 NORTHERN BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3022
Practice Address - Country:US
Practice Address - Phone:516-365-6077
Practice Address - Fax:516-365-6137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW9L421Medicare PIN