Provider Demographics
NPI:1336432210
Name:ALTERMAN, DAVID
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:ALTERMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:DAVID
Other - Middle Name:
Other - Last Name:ALTERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:88 GREENWICH ST
Mailing Address - Street 2:APT 428
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10006-2204
Mailing Address - Country:US
Mailing Address - Phone:914-656-9602
Mailing Address - Fax:
Practice Address - Street 1:88 GREENWICH ST
Practice Address - Street 2:APT 428
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10006-2204
Practice Address - Country:US
Practice Address - Phone:914-656-9602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY067015104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker