Provider Demographics
NPI:1558566406
Name:A. KAMIL ALPSAN, M.D. , L.L.C.
Entity Type:Organization
Organization Name:A. KAMIL ALPSAN, M.D. , L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-690-2028
Mailing Address - Street 1:415 TREMONT ST
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-6135
Mailing Address - Country:US
Mailing Address - Phone:716-690-2028
Mailing Address - Fax:716-690-2398
Practice Address - Street 1:415 TREMONT ST
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-6135
Practice Address - Country:US
Practice Address - Phone:716-690-2028
Practice Address - Fax:716-690-2398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
BA0051Medicare PIN