Provider Demographics
NPI:1487818407
Name:ALAN SCHLIFTMAN, MD PC
Entity Type:Organization
Organization Name:ALAN SCHLIFTMAN, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:SCHLIFTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-761-1400
Mailing Address - Street 1:244 WESTCHESTER AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2907
Mailing Address - Country:US
Mailing Address - Phone:914-761-1400
Mailing Address - Fax:914-761-6905
Practice Address - Street 1:244 WESTCHESTER AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2907
Practice Address - Country:US
Practice Address - Phone:914-761-1400
Practice Address - Fax:914-761-6905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY135447174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00655192Medicaid
NY00655192Medicaid
NY48A181ASMedicare PIN