Provider Demographics
NPI:1356448088
Name:MASS, ALAIN M (MD)
Entity Type:Individual
Prefix:MR
First Name:ALAIN
Middle Name:M
Last Name:MASS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:23 ROBERT PITT DR
Mailing Address - Street 2:STE 101
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-3372
Mailing Address - Country:US
Mailing Address - Phone:845-623-0047
Mailing Address - Fax:845-632-0049
Practice Address - Street 1:55 OLD NYACK TPKE
Practice Address - Street 2:TOWNEHOUSE OFFICE PARK, SUITE 103
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2461
Practice Address - Country:US
Practice Address - Phone:845-623-0047
Practice Address - Fax:845-623-0049
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2017-02-28
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Provider Licenses
StateLicense IDTaxonomies
NY225181207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02337373Medicaid
NY02337373Medicaid
NY5189D1Medicare PIN