# ALAN E ULISS MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740510304
- **Authorized official:** DR. ALAN E ULISS MD (OWNER)
- **Authorized official phone:** (718) 575-8434

## Contact information

- **Practice address:** 11011 72ND AVE, FOREST HILLS, NY 11375-4910
- **Practice address phone:** (718) 575-8434
- **Practice address fax:** (718) 575-3079
- **Mailing address:** 11011 72ND AVE, FOREST HILLS, NY 11375-4910
- **Mailing address phone:** (718) 575-8434
- **Mailing address fax:** (718) 575-3079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 147329 | NY | Yes |

## Other

- **Enumeration date:** 01/05/2010
- **Last updated:** 06/23/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00915119 | — | NY |
| 01 | — | 040426017261 | FIDELIS | NY |
| 01 | — | 1000000873 | AFFINITY | NY |
| 01 | — | 100037096701 | AMERICHOICE | NY |
| 01 | — | 111660101 | HEALTHPLUS | NY |
| 01 | — | 131352 | WELLCARE | NY |
| 01 | — | 147329-B14 | HEALTHFIRST | NY |
| 01 | — | 147329S | HEALTHCARE PARTNERS | NY |
| 01 | — | 14756 | AETNA | NY |
| 01 | — | 159940 | ELDERPLAN | NY |
| 01 | — | 267106006 | CIGNA | NY |
| 01 | — | 3467528 | 1199 | NY |
| 01 | — | 370967 | UNITED HEALTHCARE | NY |
| 01 | — | 41D702 | BLUE CROSS BLUE SHIELD | NY |
| 01 | — | 44607P | HIP | NY |
| 01 | — | 801043 | UNITED HEALTHCARE MC | NY |
| 01 | — | 9578 | GHI | NY |
| 01 | — | DS378 | OXFORD | NY |
| 01 | — | OH4190 | HEALTHNET | NY |