Provider Demographics
NPI:1851316574
Name:ALEX B. STRASSBURG, MD, LLC
Entity Type:Organization
Organization Name:ALEX B. STRASSBURG, MD, LLC
Other - Org Name:SENECA SLEEP DISORDERS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:B
Authorized Official - Last Name:STRASSBURG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-723-4973
Mailing Address - Street 1:2 W CRESCENT PARK
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-2111
Mailing Address - Country:US
Mailing Address - Phone:814-723-4973
Mailing Address - Fax:814-726-2712
Practice Address - Street 1:2 W CRESCENT PARK
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-2111
Practice Address - Country:US
Practice Address - Phone:814-723-4973
Practice Address - Fax:814-726-2712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD071700L207R00000X, 207RS0012X
NY247087207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00026193301OtherUNIVERA
PA0018162140006Medicaid
PA1511479OtherBC/BS
PA201750OtherHEALTH AMERICA
PA218116OtherUPMC
PA218116OtherUPMC
PA0018162140006Medicaid