Diner, Alan

Diner, Alan is an individual health care provider with primary practice located at 213 14A Union Tpke , Bayside NY 11364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Diner, Alan can be contacted via phone (718) 465-6767.

Contact Information

Primary practice address
213 14A Union Tpke Bayside NY 11364
Phone: (718) 465-6767
Fax: (718) 217-7977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 139908 New York

Profile Details

NPI number 1225020027
LBN Legal business name Diner, Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Jul 8th, 2007 - about 19 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 1225020027 NPPES
New York MEDICAID 01617716

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