Provider Demographics
NPI:1386685964
Name:SLEPIAN, ALAN T (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:T
Last Name:SLEPIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:146A MANETTO HILL RD STE 102
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1323
Mailing Address - Country:US
Mailing Address - Phone:516-937-6666
Mailing Address - Fax:516-937-1891
Practice Address - Street 1:146A MANETTO HILL RD STE 102
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1323
Practice Address - Country:US
Practice Address - Phone:516-937-6666
Practice Address - Fax:516-937-1891
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY171739208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF20245Medicare UPIN