Provider Demographics
NPI:1982628301
Name:TOLCHIN, ALAN JEFFREY (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:JEFFREY
Last Name:TOLCHIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 ALBERTA DR
Mailing Address - Street 2:SUITES 102-105
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226
Mailing Address - Country:US
Mailing Address - Phone:716-834-4060
Mailing Address - Fax:716-834-4035
Practice Address - Street 1:350 ALBERTA DR
Practice Address - Street 2:SUITES 102-105
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226
Practice Address - Country:US
Practice Address - Phone:716-834-4060
Practice Address - Fax:716-834-4035
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1302082085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00756625Medicaid
NY000524149012OtherBLUE CROSS
NY00025134201OtherUNIVERA
NY000524149012OtherINDEPENDENT HEALTH
NY000524149012OtherBLUE CROSS
NY00756625Medicaid