1932273455 NPI number — MESIBOV AND ALTMAN LLP

Table of content: DR. RICHARD CLIFTON PHINNEY M.D. (NPI 1215192703)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932273455 NPI number — MESIBOV AND ALTMAN LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MESIBOV AND ALTMAN LLP
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:
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Provider Other Credential Text:
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NPI Number Information

NPI Number:
1932273455
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
50 UNDERHILL BLVD
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
SYOSSET
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11791-3418
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-921-2122
Provider Business Mailing Address Fax Number:
516-921-0670

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
50 UNDERHILL BLVD
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
SYOSSET
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11791-3418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-921-2122
Provider Business Practice Location Address Fax Number:
516-921-0670
Provider Enumeration Date:
11/17/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ALTMAN
Authorized Official First Name:
STEWART
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER PARTNER
Authorized Official Telephone Number:
516-921-2122

Provider Taxonomy Codes

  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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