Provider Demographics
NPI:1245276229
Name:ALAN J DAYAN M D P C
Entity type:Organization
Organization Name:ALAN J DAYAN M D P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:DAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-232-6348
Mailing Address - Street 1:1715 AVENUE T
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-3429
Mailing Address - Country:US
Mailing Address - Phone:718-232-6348
Mailing Address - Fax:718-382-8225
Practice Address - Street 1:1715 AVENUE T
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3429
Practice Address - Country:US
Practice Address - Phone:718-232-6348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194786207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00251094OtherRAILROAD MEDICARE
NY5930280001Medicare NSC
NY75G621Medicare PIN
NYG51250Medicare UPIN