Doctor Name: | DR. ALAN LAURENCE FOLSOM |
NPI Number: | 1912230384 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 096360 |
Business Practice Address: | 44 Cumberland Ave Plattsburgh, NY - 129011815 |
Business Phone Number: | 5185630246 |
Business Fax Number: | 5185630246 |
Mailing Address: | 44 Cumberland Ave, PLATTSBURGH |
State: | NY |
Postal Code: | 129011815 |
Phone Number: | 5185630246 |
Fax Number: | 5185630246 |
NPI Enumeration Date: | 09/16/2009 |
NPI Last Update Date: | 09/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 096360 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |