Provider Demographics
NPI:1447268636
Name:ALJIAN, JOHN M (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:ALJIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:19 BRADHURST AVE STE 3750
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2132
Mailing Address - Country:US
Mailing Address - Phone:914-313-3937
Mailing Address - Fax:914-745-7618
Practice Address - Street 1:19 BRADHURST AVE STE 3750
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2132
Practice Address - Country:US
Practice Address - Phone:914-313-3937
Practice Address - Fax:914-745-7618
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY190447207WX0120X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY419A51OtherEMPIRE BCBS
P706852OtherOXFORD
NY01760663Medicaid
0499977OtherGHI
NY39948POtherHIP
5115587OtherAETNA
NY419A51OtherEMPIRE BCBS
P706852OtherOXFORD
G00754Medicare UPIN
NY68T802Medicare PIN