Provider Demographics
NPI:1659419372
Name:HANDELSMAN, ALAN B (LIC AC)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:B
Last Name:HANDELSMAN
Suffix:
Gender:M
Credentials:LIC AC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1333 A. NORTH AVE. #340
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804
Mailing Address - Country:US
Mailing Address - Phone:914-328-3474
Mailing Address - Fax:914-509-2604
Practice Address - Street 1:171 PEARSALL DRIVE GLA
Practice Address - Street 2:
Practice Address - City:MT. VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552
Practice Address - Country:US
Practice Address - Phone:914-645-6112
Practice Address - Fax:914-509-2604
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000547-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist