Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 146086 | NY |
N | 207NS0135X | Procedural Dermatology | 146086 | NY |
NPI | 1518913672 |
---|---|
Provider Name | Dr. Alan Howard Greenspan |
First Address | New York, NY 10006-3003 |
Second Address | New York, NY 10006-3003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 15/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A62895 | (02) | NY |