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NPI Code Detail

MEDICARE: DR. ALAN ROSS MD

MEDICARE:  DR. ALAN  ROSS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PP0204XPediatric Emergency Medicine (Emergency Medicine) Physician167788NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215997531
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN ROSS MD
Provider Business Mailing Address
First Line : 2426 EASTCHESTER RD
Second Line : SUITE 208
City : BRONX
State : NY
Zip : 10469-5947
Country : US
Telephone Number : 718-708-5650
Fax Number : 718-708-5619
Provider Business Practice Location Address
First Line : 2426 EASTCHESTER RD
Second Line : SUITE 208
City : BRONX
State : NY
Zip : 10469-5947
Country : US
Telephone Number : 718-708-5650
Fax Number : 718-708-5619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 03/30/2012

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