Provider Demographics
NPI:1871656363
Name:PLATT, ALEC B (MD)
Entity Type:Individual
Prefix:
First Name:ALEC
Middle Name:B
Last Name:PLATT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:124 ROSA RD
Mailing Address - Street 2:SUITE 382
Mailing Address - City:SCHENECTODY
Mailing Address - State:NY
Mailing Address - Zip Code:12308
Mailing Address - Country:US
Mailing Address - Phone:518-386-3691
Mailing Address - Fax:518-386-3503
Practice Address - Street 1:124 ROSA RD.
Practice Address - Street 2:SUITE 382
Practice Address - City:SCHENECTODY
Practice Address - State:NY
Practice Address - Zip Code:12308
Practice Address - Country:US
Practice Address - Phone:518-386-3691
Practice Address - Fax:518-386-3503
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2014-07-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMT0505146207RP1001X
NY275255207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA126847Medicare PIN