# DR. ALAN VINITSKY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053410530
- **Gender:** Man
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0022180 | MD | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 522350226 | TAX-ID \# | MD |
| 05 | — | 763431500 | — | MD |
| 01 | — | D0022180 | DPT OF HEALTH & MENTAL HY | MD |