Provider Demographics
NPI:1942268834
Name:ALIANAKIAN, ROSINE (OD)
Entity Type:Individual
Prefix:DR
First Name:ROSINE
Middle Name:
Last Name:ALIANAKIAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3623 203RD ST
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-1123
Mailing Address - Country:US
Mailing Address - Phone:212-938-4191
Mailing Address - Fax:212-938-4127
Practice Address - Street 1:33 W 42ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-8005
Practice Address - Country:US
Practice Address - Phone:212-938-4191
Practice Address - Fax:212-938-4127
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT005932152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4Y4951Medicare UPIN