1477700284 NPI number — ALAIN MASS, MD P.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477700284 NPI number — ALAIN MASS, MD P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALAIN MASS, MD P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477700284
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
55 OLD NYACK TURNPIKE SUITE 103
Provider Second Line Business Mailing Address:
TOWNEHOUSE OFFICE PARK
Provider Business Mailing Address City Name:
NANUET
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10954
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-623-0047
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
55 OLD NYACK TPKE STE 103
Provider Second Line Business Practice Location Address:
TOWNEHOUSE OFFICE PARK
Provider Business Practice Location Address City Name:
NANUET
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10954-2449
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-623-0047
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/22/2008

Additional Information

Authorized Official

Authorized Official Last Name:
MASS
Authorized Official First Name:
ALAIN
Authorized Official Middle Name:
MORDECHAI
Authorized Official Title or Position:
OWNER/ PHYSICIAN
Authorized Official Telephone Number:
845-623-0047

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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