Individual
ALAN ULISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11011 72ND AVE, FOREST HILLS, NY 11375-4946
(718) 575-8434
(718) 575-3079
Mailing address
11011 72ND AVE, FOREST HILLS, NY 11375-4946
(718) 575-8434
(718) 575-3079
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
147329
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00915119
—
NY
01
—
0801043
UNITED HEALTHCARE MC MD
NY
01
—
1000000873
AFFINITY
NY
01
—
111660101
HEALTHPLUS
NY
01
—
112978266
1199
NY
01
—
131352
WELLCARE
NY
01
—
147329-A14
HEALTHFIRST
NY
01
—
147329S
HEALTHCARE PARTNERS
NY
01
—
14756
AETNA
NY
01
—
1939885104
FIDELIS
NY
01
—
267106006
CIGNA
NY
01
—
370967
UNITED HEALTHCARE
NY
01
—
41D702
BLUE CROSS BLUE SHIELD
NY
01
—
4C8501
HEALTHNET
NY
01
—
9578
GHI
NY
01
—
DS378
OXFORD
NY
01
—
FIDELIS
040426017261
NY
Enumeration date
10/21/2005
Last updated
06/23/2020
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