Provider Demographics
NPI:1871691980
Name:STROJAN, ALBERT (DO)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:STROJAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-1133
Mailing Address - Country:US
Mailing Address - Phone:516-791-9500
Mailing Address - Fax:
Practice Address - Street 1:85 ROOSEVELT AVENUE
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581
Practice Address - Country:US
Practice Address - Phone:516-791-9500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212127-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01987562Medicaid
NYH02995Medicare UPIN
NY50C481Medicare PIN
NY01987562Medicaid
NY6514UVMedicare PIN