Provider Demographics
NPI:1952398471
Name:ALTERMAN, JULIAN SAUL (DMD)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:SAUL
Last Name:ALTERMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 W 186TH ST
Mailing Address - Street 2:STE 1D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-2633
Mailing Address - Country:US
Mailing Address - Phone:212-927-7314
Mailing Address - Fax:212-927-6066
Practice Address - Street 1:615 W 186TH ST
Practice Address - Street 2:STE 1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-2633
Practice Address - Country:US
Practice Address - Phone:212-927-7314
Practice Address - Fax:212-927-6066
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0352991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00825425Medicaid