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ALLAN M BIRNBAUM MD NPI 1184685018


NPI Information

NPI: 1184685018
Provider Name: ALLAN M BIRNBAUM, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
4101 MEDICAL CENTER DR
FAYETTEVILLE, NY
ZIP 13066
Phone: (315) 637-7878
Get Directions

Allan M Birnbaum, MD is a family medicine in Fayetteville, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Allan M Birnbaum, MD NPI is 1184685018. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4101 MEDICAL CENTER DR
FAYETTEVILLE, NY
ZIP 13066-610
Phone: (315) 637-7878
Fax: (315) 637-7870

The enumeration date for this NPI number is 3/30/2006 and was last updated on 11/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine108997NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100560861MEDICAIDNEW YORK
2J400037318MEDICARE PINNEW YORK
3D02162MEDICARE UPINNEW YORK
4RA0063MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.