Individual
AHMAD A ALWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 FRONT ST, STE C, VESTAL, NY 13850-1559
(607) 239-5694
(607) 239-5720
Mailing address
200 FRONT ST, STE C, VESTAL, NY 13850-1559
(607) 239-5694
(607) 239-5720
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
247034
NY
2084N0600X
Clinical Neurophysiology Physician
247034
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02964836
—
NY
Enumeration date
02/09/2007
Last updated
02/21/2020
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