Individual
DR. ALISA ALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(631) 425-2110
(631) 425-2133
Mailing address
180 E PULASKI RD, HUNTINGTON STATION, NY 11746-1915
(631) 425-2110
(631) 425-2133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
231200
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02151086
—
NY
01
—
6B4311
EMPIRE BC.BS
NY
01
—
7715242
AETNA
NY
Enumeration date
06/13/2006
Last updated
07/11/2022
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