Provider Demographics
NPI:1568433423
Name:WEST, ALAN L (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:L
Last Name:WEST
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 E 79TH ST
Mailing Address - Street 2:APT. 18G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0709
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:505 E 79TH ST
Practice Address - Street 2:APT. 18G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-0709
Practice Address - Country:US
Practice Address - Phone:212-535-9199
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002139-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist