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Contact Information

ALIVE HEALTHCARE & MEDICAL GROUP
152 N OCEAN AVE
PATCHOGUE, NY11772-2004
 Phone: 347-392-7208
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ALIVE HEALTHCARE MEDICAL GROUP · (Female)

NPI Number 1326484478
Status Active
Credentials
Entity Individual
Enumeration date 05/16/2013
Last updated 05/21/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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