Provider Demographics
NPI:1043324387
Name:OSINSKI, ALPHONSE DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ALPHONSE
Middle Name:DANIEL
Last Name:OSINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10 ROBIN HILL RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3941
Mailing Address - Country:US
Mailing Address - Phone:914-244-0408
Mailing Address - Fax:718-334-3557
Practice Address - Street 1:10 ROBIN HILL RD
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3941
Practice Address - Country:US
Practice Address - Phone:914-244-0408
Practice Address - Fax:718-334-3557
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1965522084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01883807Medicaid
NY61M701Medicaid
NY01883807Medicaid