Provider Demographics
NPI:1699107557
Name:HEIGHTS ALLERGY AND IMMUNOLOGY LLP
Entity type:Organization
Organization Name:HEIGHTS ALLERGY AND IMMUNOLOGY LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:GOZEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TUYSUZOGLU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-781-5889
Mailing Address - Street 1:PO BOX 1097
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07653-1097
Mailing Address - Country:US
Mailing Address - Phone:201-967-8425
Mailing Address - Fax:201-263-4665
Practice Address - Street 1:129 WADSWORTH AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-4828
Practice Address - Country:US
Practice Address - Phone:212-781-5889
Practice Address - Fax:212-781-6053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236320-1207KA0200X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY236320-1OtherSTATE LICENCE