Individual
ALAN STUART KADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 NORTHERN BLVD, SUITE 111, GREAT NECK, NY 11021-5200
(516) 487-9454
(516) 487-2745
Mailing address
600 NORTHERN BLVD, SUITE 111, GREAT NECK, NY 11021-5200
(516) 487-9454
(516) 487-2745
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
205134
NY
2086X0206X
Surgical Oncology Physician
Primary
205134
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02395031
—
NY
Enumeration date
01/23/2006
Last updated
04/14/2026
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