Provider Demographics
NPI:1932245834
Name:LONG ISLAND ALLERGY & ASTHMA CARE, PLLC
Entity type:Organization
Organization Name:LONG ISLAND ALLERGY & ASTHMA CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:KILG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-433-8530
Mailing Address - Street 1:70 COLGATE DR
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1804
Mailing Address - Country:US
Mailing Address - Phone:516-433-8530
Mailing Address - Fax:516-692-4240
Practice Address - Street 1:4250 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5711
Practice Address - Country:US
Practice Address - Phone:516-433-8530
Practice Address - Fax:516-692-4240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY175978207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty