Individual
ALAN DINER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
213 14A UNION TPKE, BAYSIDE, NY 11364
(718) 465-6767
(718) 217-7977
Mailing address
213 14A UNION TPKE, BAYSIDE, NY 11364
(718) 465-6767
(718) 217-7977
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
139908
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01617716
—
NY
Enumeration date
08/17/2005
Last updated
07/08/2007
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