Altman, Alisa

Altman, Alisa is an individual health care provider with primary practice located at 180 E Pulaski Rd , Huntington Station NY 11746-1915. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Altman, Alisa can be contacted via phone (631) 425-2110.

Contact Information

Primary practice address
180 E Pulaski Rd Huntington Station NY 11746-1915
Phone: (631) 425-2110
Fax: (631) 425-2133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 231200 New York

Profile Details

NPI number 1821031303
LBN Legal business name Altman, Alisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 11th, 2022 - about 2 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 1821031303 NPPES
New York Other 6B4311 EMPIRE BC.BS
New York Other 7715242 EMPIRE BC.BS
New York MEDICAID 02151086 EMPIRE BC.BS

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