MEDICARE: DR. JULIAN SAUL ALTERMAN DMD

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
1	1223G0001X	General Practice Dentistry	035299	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1952398471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIAN SAUL ALTERMAN DMD

Provider Business Mailing Address
First Line	:	615 W 186TH ST
Second Line	:	STE 1D
City	:	NEW YORK
State	:	NY
Zip	:	10033-2633
Country	:	US
Telephone Number	:	212-927-7314
Fax Number	:	212-927-6066

Provider Business Practice Location Address
First Line	:	615 W 186TH ST
Second Line	:	STE 1D
City	:	NEW YORK
State	:	NY
Zip	:	10033-2633
Country	:	US
Telephone Number	:	212-927-7314
Fax Number	:	212-927-6066

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	07/09/2007

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