Alt, Ilene

Alt, Ilene is an individual health care provider with primary practice located at 4575 Main St , Amherst NY 14226-4567. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Alt, Ilene can be contacted via phone (716) 633-4575.

Contact Information

Primary practice address
4575 Main St Amherst NY 14226-4567
Phone: (716) 633-4575
Fax: (716) 633-4576
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F360040 New York

Profile Details

NPI number 1831177344
LBN Legal business name Alt, Ilene
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Apr 29th, 2011 - 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 1831177344 NPPES
New York MEDICAID 02343451
New York Other 000560305006
New York Other 00021042303
New York Other 9511820

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