Provider Demographics
NPI:1932273455
Name:MESIBOV AND ALTMAN LLP
Entity type:Organization
Organization Name:MESIBOV AND ALTMAN LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEWART
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-921-2122
Mailing Address - Street 1:50 UNDERHILL BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-3418
Mailing Address - Country:US
Mailing Address - Phone:516-921-2122
Mailing Address - Fax:516-921-0670
Practice Address - Street 1:50 UNDERHILL BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-3418
Practice Address - Country:US
Practice Address - Phone:516-921-2122
Practice Address - Fax:516-921-0670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty