Healthcare Provider Details

I. General information

NPI: 1255497749
Provider Name (Legal Business Name): ALAN LINDSEY ENGELBERG MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 E 70TH ST
NEW YORK NY
10021-5405
US

IV. Provider business mailing address

222 E 70TH ST
NEW YORK NY
10021-5405
US

V. Phone/Fax

Practice location:
  • Phone: 212-434-5168
  • Fax: 212-717-3811
Mailing address:
  • Phone: 212-434-5168
  • Fax: 212-717-3811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number60-212185
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: