Alan Bruce Olmstead, RPA-C
Individual provider Active NPI Medical Physician Assistant · Selkirk, NY
NPI 1376678243 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376678243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 000724-1 (NY)
- Practice address
- 1 Noryl Ave
Selkirk, NY 12158-9765 - Phone
- (518) 475-5033
- Fax
- (518) 475-5793
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000724-1 | NY | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 000724-1 | NY | Yes |
Addresses
Primary practice location
1 Noryl Ave
Selkirk, NY 12158-9765
Mailing address
29 Ellsworth Ave
Delmar, NY 12054-1419
Phone (518) 475-5033
Other providers in Selkirk, NY
- Karen McKenna
- Mealthfit, LLC
- MLS Counseling Inc
- Jennifer Molino
- Arlene Venice Okoniewski
- Ravena-Coeymans-Central School District
- Cathleen Chludzinski Rivera
- Rocky Mountain Holdings, LLC
- Angelo Ruperto
- Moises Alexander Samaniego
All providers in Selkirk, NY · Medical Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.