Individual
ALLAN M BIRNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4101 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6610
(315) 637-7878
(315) 637-7870
Mailing address
4101 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6600
(315) 637-7878
(315) 637-7870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
108997
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00560861
—
NY
Enumeration date
03/30/2006
Last updated
11/15/2011
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