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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

NPI Number 1326484478
LBN Legal business name ALIVE HEALTHCARE & MEDICAL GROUP
Authorized official JAMIE ANDRE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2013
Last updated 05/21/2013 - About 13 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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