Provider Demographics
NPI:1033225099
Name:SOBIN, ALLAN J (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:J
Last Name:SOBIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:330 E 33RD ST
Mailing Address - Street 2:APT 20M
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9466
Mailing Address - Country:US
Mailing Address - Phone:718-377-0700
Mailing Address - Fax:212-684-4568
Practice Address - Street 1:3131 KINGS HWY
Practice Address - Street 2:SUITE C3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-2644
Practice Address - Country:US
Practice Address - Phone:718-377-0700
Practice Address - Fax:212-684-4568
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2011-11-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0781872084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY078187OtherLOCAL 1199
NY078187-B20OtherHEALTHFIRST
NY00108296Medicaid
NYOC1244OtherPHS
NY0037003OtherGHI
NY078187OtherHIP
NY078187OtherHORIZON HEALTH CARE
NY195131OtherEMPIRE BLUE CROSS BLUE SH
NYBKX079101OtherAMERICHOICE OF NY
NYKS678OtherOXFORD
NY00108296Medicaid
NY078187-B20OtherHEALTHFIRST
NYB10829Medicare UPIN