Provider Demographics
NPI:1306847603
Name:GASS, ALAN L (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:L
Last Name:GASS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:ONE GUSTAVE LEVY PLACE
Mailing Address - Street 2:1030
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-241-5170
Mailing Address - Fax:212-369-3269
Practice Address - Street 1:1900 HEMPSTEAD TPKE
Practice Address - Street 2:500
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1724
Practice Address - Country:US
Practice Address - Phone:516-542-1090
Practice Address - Fax:516-794-8165
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2021-12-09
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Provider Licenses
StateLicense IDTaxonomies
NY173742207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01131924Medicaid
NY16F771Medicare ID - Type Unspecified
NYE36448Medicare UPIN