Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 180011 | NY |
N | 207QA0401X | Family Doctor - Addiction Medicine | 180011 | NY |
NPI | 1548220775 |
---|---|
Provider Name | Alan James Barcomb |
First Address | Oakfield, NY 14125-1014 |
Second Address | Oakfield, NY 14125-1014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 18/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000523719002 | BCBS WNY (01) | NY |
0109523 | INDEPENDENT HEALTH (01) | NY |
01638595 | (05) | NY |
0591 | BCBS ROCHESTER (01) | NY |
990008205 | MEDICARE RAILROAD (01) | NY |
BB0564 | MEDICARE ID (01) | NY |
G10484 | (02) | NY |
MDC198 | PREFERRED CARE (01) | NY |
P010180011 | BLUE CHOICE (01) | NY |
UNIVERA | 00010197301 (01) | NY |