Individual
DR. ALAN CLINT LEGASTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E 68TH ST # 141, NEWYORK-PRESBYTERIAN-WCMC, NEW YORK, NY 10065-4870
(212) 746-6000
(646) 962-0122
Mailing address
575 LEXINGTON AVE STE 500, NEWYORK-PRESBYTERIAN-WCMC, NEW YORK, NY 10022-6102
(212) 746-6000
(646) 962-0122
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
223287
MA
2085R0202X
Diagnostic Radiology Physician
Primary
242092
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02833205
—
NY
05
—
2103753
—
MA
01
—
468386
TUFTS HEALTH PLAN
MA
01
—
J28655
BCBS MA
MA
Enumeration date
11/04/2005
Last updated
09/12/2023
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