Provider Demographics
NPI:1831313667
Name:SHULMAN, ALAN IRWIN (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:IRWIN
Last Name:SHULMAN
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 1:121 E 60TH ST
Mailing Address - Street 2:SU. 3D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1117
Mailing Address - Country:US
Mailing Address - Phone:212-980-8665
Mailing Address - Fax:212-486-7555
Practice Address - Street 1:121 E 60TH ST
Practice Address - Street 2:SU. 3D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1117
Practice Address - Country:US
Practice Address - Phone:212-980-8665
Practice Address - Fax:212-486-7555
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003839213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
P40141Medicare PIN
NYT51231Medicare UPIN