Provider Demographics
NPI:1962588194
Name:CNY MEDICINE & ALLERGY PC
Entity type:Organization
Organization Name:CNY MEDICINE & ALLERGY PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALESSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-336-3380
Mailing Address - Street 1:7900 TURIN RD
Mailing Address - Street 2:BEECHES PROFESSIONAL CAMPUS
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-1900
Mailing Address - Country:US
Mailing Address - Phone:315-336-3380
Mailing Address - Fax:315-339-3182
Practice Address - Street 1:7900 TURIN RD
Practice Address - Street 2:BEECHES PROFESSIONAL CAMPUS
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-1900
Practice Address - Country:US
Practice Address - Phone:315-336-3380
Practice Address - Fax:315-339-3182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & ImmunologyGroup - Multi-Specialty
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic AllergyGroup - Multi-Specialty