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General NPI Number Information
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NPI Number | 1598764433
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Entity Type | Individual
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Provider Name | DAVID J. ALTMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 07/28/2010
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Provider Practice Location Address
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Address Line | 8421 SHERIDAN DR
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-4133
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Country | US
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Telephone | 716-810-0610
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Fax | 716-810-0630
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Provider Business Mailing Address
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Address Line | PO BOX 8000 DEPARTMENT 273
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City | BUFFALO
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State | NY
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Zip | 14267-0002
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Country | US
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Telephone | 716-810-0610
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Fax | 716-810-0630
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 208731
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License Number State | NY
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