Provider Demographics
NPI:1588630453
Name:AQUILINA, ALAN THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:THOMAS
Last Name:AQUILINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:14 OLD SPRING LN STE 320
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14221-2108
Mailing Address - Country:US
Mailing Address - Phone:716-861-4790
Mailing Address - Fax:716-204-8229
Practice Address - Street 1:SLEEP LAB OF OLEAN GENERAL
Practice Address - Street 2:515 MAIN ST
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760
Practice Address - Country:US
Practice Address - Phone:716-373-9300
Practice Address - Fax:716-701-1543
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY125476207RS0012X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY005078231OtherHEALTH NOW
NY00601809Medicaid
NY00010005303OtherEXCELLUS UNIVERA
NY2807596OtherINDEPENDENT HEALTH
NY005078231OtherHEALTH NOW
NYB36097Medicare UPIN
NYRB2108Medicare PIN