Provider Demographics
NPI:1477700284
Name:ALAIN MASS, MD P.C.
Entity Type:Organization
Organization Name:ALAIN MASS, MD P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAIN
Authorized Official - Middle Name:MORDECHAI
Authorized Official - Last Name:MASS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-623-0047
Mailing Address - Street 1:55 OLD NYACK TURNPIKE SUITE 103
Mailing Address - Street 2:TOWNEHOUSE OFFICE PARK
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954
Mailing Address - Country:US
Mailing Address - Phone:845-623-0047
Mailing Address - Fax:
Practice Address - Street 1:55 OLD NYACK TPKE STE 103
Practice Address - Street 2:TOWNEHOUSE OFFICE PARK
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2449
Practice Address - Country:US
Practice Address - Phone:845-623-0047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty