Provider Demographics
NPI:1881674646
Name:ALTAMURA, MICHAEL J (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:ALTAMURA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:110 S. BEDFORD RD
Mailing Address - Street 2:CARE MOUNT MEDICAL, PC
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2570
Mailing Address - Country:US
Mailing Address - Phone:914-793-2121
Mailing Address - Fax:914-242-1516
Practice Address - Street 1:1978 CROMPOND RD
Practice Address - Street 2:CARE MOUNT MEDICAL PC
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4111
Practice Address - Country:US
Practice Address - Phone:914-739-2121
Practice Address - Fax:914-242-1516
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2016-11-14
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Provider Licenses
StateLicense IDTaxonomies
NY132774208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00715664046Medicaid
NYMA06885710Medicare PIN
NYA4700060237Medicare PIN
NYB17881Medicare UPIN