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
Phone: (845) 534-2328
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1053596734 | NPPES |
| New York | MEDICAID | 00519668 | |
| New York | Other | AT0587201 |
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