Alley, John A

Alley, John A is an individual health care provider with primary practice located at 28 1/2 E Main St , Marcellus NY 13108-1226. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Alley, John A can be contacted via phone (315) 673-9926.

Contact Information

Primary practice address
28 1/2 E Main St Marcellus NY 13108-1226
Phone: (315) 673-9926
Fax: (315) 673-9465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 196637 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 196637 New York

Profile Details

NPI number 1598727554
LBN Legal business name Alley, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Feb 14th, 2011 - about 14 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 1598727554 NPPES
New York MEDICAID 02187460

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