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Individual

DAVID J. ALTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8421 SHERIDAN DR, WILLIAMSVILLE, NY 14221-4133
(716) 810-0610
(716) 810-0630
Mailing address
PO BOX 8000, DEPARTMENT 273, BUFFALO, NY 14267-0002
(716) 810-0610
(716) 810-0630

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
208731
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00025872901
UNIVERA
01
000526696001
BC/BS-HEALTHNOW
01
0311368
INDEPENDENT HEALTH
NY
01
070016621
RR MEDICARE
NY
01
9701605
GHI
Enumeration date
07/21/2005
Last updated
07/28/2010
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