Ellman, Alan Gary
Ellman, Alan Gary is an individual health care provider with primary practice located at 770 Middle Country Rd , Middle Island NY 11953-2555. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ellman, Alan Gary can be contacted via phone (631) 924-7997.Contact Information
Primary practice address
770 Middle Country Rd
Middle Island NY 11953-2555
Phone: (631) 924-7997
Fax: (631) 924-7953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 029649 | New York |
Profile Details
| NPI number | 1184859357 |
|---|---|
| LBN Legal business name | Ellman, Alan Gary |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2009 |
| Last updated | May 18th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184859357 | NPPES |
| New York | MEDICAID | 00412533 |
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