Provider Demographics
NPI:1326039371
Name:MARKOWITZ, ALAN ROLAND (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:ROLAND
Last Name:MARKOWITZ
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 1:1373 BOXWOOD DR E
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-2204
Mailing Address - Country:US
Mailing Address - Phone:516-374-4083
Mailing Address - Fax:
Practice Address - Street 1:1553 BROADWAY
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1427
Practice Address - Country:US
Practice Address - Phone:516-374-1677
Practice Address - Fax:516-374-8666
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086656207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00134836Medicaid
NY43206OtherGHI
NY380841OtherBLUE CROSS BLUE SHIELD
NYP3601071OtherOXFORD
NYP3601071OtherOXFORD
NY3808486381Medicare PIN