Provider Demographics
NPI:1417914185
Name:MECHANIC, ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:MECHANIC
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 1:353 VETERANS HIGHWAY
Mailing Address - Street 2:SUITE 303
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725
Mailing Address - Country:US
Mailing Address - Phone:631-864-3900
Mailing Address - Fax:631-864-2954
Practice Address - Street 1:1991 MARCUS AVENUE
Practice Address - Street 2:LAKE SUCCESS
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:11042
Practice Address - Country:US
Practice Address - Phone:516-442-2250
Practice Address - Fax:516-442-2251
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY147497207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB00270Medicare UPIN
B00270Medicare UPIN
NY11E381Medicare ID - Type Unspecified