Provider Demographics
NPI:1881726073
Name:FUCHS, ALLAN (OTR)
Entity type:Individual
Prefix:
First Name:ALLAN
Middle Name:
Last Name:FUCHS
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 328 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-3507
Mailing Address - Country:US
Mailing Address - Phone:516-293-0565
Mailing Address - Fax:516-293-1897
Practice Address - Street 1:326 328 MAIN STREET
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-3507
Practice Address - Country:US
Practice Address - Phone:516-293-0565
Practice Address - Fax:516-293-1897
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNYS 002559225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
5224649OtherAETNA PPO
2011331OtherAETNA HMO
CS623OtherOXFORD
CS623OtherOXFORD