DR. SELENE BANTZ


Address: 10 Barclay St, Ste 29d, New York, NY 10007-2714
Phone: 9177655960

DR. SELENE BANTZ (NPI# 1619111366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619111366
Entity Type Individual
Full Name DR. SELENE BANTZ
Credential M.D.
Practice Address 10 Barclay St
Ste 29d
New York
NY 10007-2714
Mailing Address 10 Barclay St
Suite 29d
New York
NY 10007-2714
Practice Telephone 9177655960
Mailing Telephone 6096820218
Mailing Fax Number 4013401649
Enumeration Date 2009-04-24
Last Update Date 2020-07-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology 1619111366 CT Allopathic & Osteopathic Physicians
N 2080P0201X Pediatrics
Specialization: Pediatric Allergy/Immunology
1619111366 CT Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
320 Jackson Rd, Medford, NJ 080558483 6096820218 6099539085
333 Cedar St # S-215, Post Office Box 208013, New Haven, CT 065103206 2037854170 2037853229

Office Location

Street Address 10 BARCLAY ST
STE 29D
City NEW YORK
State NY
Zip Code 10007-2714

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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568868834 Icahn School of Medicine At Mount Sinai Allergy & Immunology 55 West 34th Street, 1st Floor, New York, NY 10016 2014-11-13
1083025902 Ekta K Perera Allergy & Immunology 622 W 168th St Ph 8, New York, NY 10032-3720 2014-05-13
1477895159 Tamar Weinberger Allergy & Immunology 1 Gustave L. Levy Pl, New York, NY 10029 2013-03-20
1245495928 Lihua Yang Allergy & Immunology 139 Centre St Ste 701, New York, NY 10013-4557 2008-07-22
1326201757 Timothy Mainardi Allergy & Immunology 49 Murray St, New York, NY 10007-2250 2008-07-07
1376724500 Amy Shah Allergy & Immunology 10 Amsterdam Ave, Apt 902, New York, NY 10023-7464 2007-11-15
1881894418 Medical Offices of Frederick Ast, Pllc Allergy & Immunology 35 E 30th St # 1a, New York, NY 10016-7325 2007-07-22
1619000494 Zvi Marom Allergy & Immunology 305 E 83rd St, Apt 4f, New York, NY 10028-4346 2007-03-13
1255482295 Dean Cory Mitchell Allergy & Immunology 57 W 57th St Ste 601, New York, NY 10019-2802 2007-01-16
1033274147 New York Allergy & Sinus Group, Pllc Allergy & Immunology 116 East 36th Street, New York, NY 10016 2006-12-27
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Competitor

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City NEW YORK
Zip Code 10007

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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