Alba, Juan Andres

Alba, Juan Andres is an sole proprietor health care provider with primary practice located at 29 Wadsworth Ave Suite 1B, New York NY 10033-7055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Alba, Juan Andres can be contacted via phone (212) 928-1366.

Contact Information

Primary practice address
29 Wadsworth Ave Suite 1B New York NY 10033-7055
Phone: (212) 928-1366
Fax: (212) 928-1368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 204149 New York

Profile Details

NPI number 1578649059
LBN Legal business name Alba, Juan Andres
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Feb 22nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578649059 NPPES
New York MEDICAID 01754810

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