Provider Demographics
NPI:1306965744
Name:ALLERGY & ASTHMA CONSULTANTS OF ROCKLAND AND BERGEN PC
Entity type:Organization
Organization Name:ALLERGY & ASTHMA CONSULTANTS OF ROCKLAND AND BERGEN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:G
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-248-9199
Mailing Address - Street 1:2 CROSFIELD AVE
Mailing Address - Street 2:SUITE 406
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2226
Mailing Address - Country:US
Mailing Address - Phone:845-353-9600
Mailing Address - Fax:845-353-9353
Practice Address - Street 1:2 CROSFIELD AVE
Practice Address - Street 2:SUITE 406
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2226
Practice Address - Country:US
Practice Address - Phone:845-353-9600
Practice Address - Fax:845-353-9353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY203287207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWCW131Medicare ID - Type Unspecified