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Individual

DR. ALISA ALTMAN

Active
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Individual

DR. ALISA ALTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

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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