Provider Demographics
NPI:1588645485
Name:DE LOTBINIERE, ALAIN C J (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAIN
Middle Name:C J
Last Name:DE LOTBINIERE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4 WESTCHESTER PARK DR
Mailing Address - Street 2:STE 320
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-3497
Mailing Address - Country:US
Mailing Address - Phone:914-517-8003
Mailing Address - Fax:914-686-5478
Practice Address - Street 1:4 WESTCHESTER PARK DR
Practice Address - Street 2:STE 320
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-3497
Practice Address - Country:US
Practice Address - Phone:914-948-6688
Practice Address - Fax:914-686-5478
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2017-08-01
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Provider Licenses
StateLicense IDTaxonomies
CT030014207T00000X
NY235835207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
E40122Medicare UPIN