Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 112468-4 | NY |
N | 207VG0400X | Gynecologist | 112468-4 | NY |
NPI | 1063431922 |
---|---|
Provider Name | Dr. Alan P Sitron |
First Address | Bethpage, NY 11714-5709 |
Second Address | Bethpage, NY 11714-5709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00859036 | (05) | NY |
B12500 | (02) | NY |