Provider Demographics
NPI:1093719551
Name:DUNCAN, ALBERT O (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:O
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 E 40TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2911
Mailing Address - Country:US
Mailing Address - Phone:718-778-6898
Mailing Address - Fax:718-778-7476
Practice Address - Street 1:50 E 40TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2911
Practice Address - Country:US
Practice Address - Phone:718-778-6898
Practice Address - Fax:718-778-7476
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY156062-1208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00984249Medicaid
A62953Medicare UPIN
NY48D541Medicare PIN