Individual
DR. ALAN EDWARD PRESTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39 SNOWDANCE LANE, NESCONSET, NY 11767-1572
(631) 724-0654
Mailing address
39 SNOWDANCE LANE, NESCONSET, NY 11767-1572
(631) 724-0654
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
101410
NY
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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