Dr. Alan Edward Prestia, MD
Dermatology in Nesconset, NY. Individual provider (NPI-1).
NPI number1497943963
StatusActive
Last updated in NPPESOct 10, 2007
Details
- NPI
- 1497943963
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alan Edward Prestia
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 10, 2007
- Last updated
- Oct 10, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 101410 | NY | Yes |
Practice location
39 Snowdance LaneNesconset, NY 11767-1572
Phone 631-724-0654
Mailing address
39 Snowdance LaneNesconset, NY 11767-1572
Phone 631-724-0654
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