Provider Demographics
NPI:1902014947
Name:WACHTEL, ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:WACHTEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:34 S BROADWAY STE 702
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4427
Mailing Address - Country:US
Mailing Address - Phone:914-428-8563
Mailing Address - Fax:146-860-9339
Practice Address - Street 1:34 S BROADWAY
Practice Address - Street 2:SUITE #702
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4400
Practice Address - Country:US
Practice Address - Phone:914-428-8563
Practice Address - Fax:914-686-0933
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1163832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry