Tisch, Allen

Tisch, Allen is an sole proprietor health care provider with primary practice located at 268 Mountain Rd , Cornwall On Hudson NY 12520-1806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tisch, Allen can be contacted via phone (845) 534-2328.

Contact Information

Primary practice address
268 Mountain Rd Cornwall On Hudson NY 12520-1806
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 105400-1 New York

Profile Details

NPI number 1053596734
LBN Legal business name Tisch, Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2007
Last updated Dec 31st, 2007 - about 17 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 1053596734 NPPES
New York MEDICAID 00519668
New York Other AT0587201

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