Provider Demographics
NPI:1083014310
Name:ALEVY, CARY (DDS)
Entity Type:Individual
Prefix:
First Name:CARY
Middle Name:
Last Name:ALEVY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 LAKE RD
Mailing Address - Street 2:
Mailing Address - City:CONGERS
Mailing Address - State:NY
Mailing Address - Zip Code:10920-2435
Mailing Address - Country:US
Mailing Address - Phone:845-268-2857
Mailing Address - Fax:845-268-6227
Practice Address - Street 1:117 LAKE RD
Practice Address - Street 2:
Practice Address - City:CONGERS
Practice Address - State:NY
Practice Address - Zip Code:10920-2435
Practice Address - Country:US
Practice Address - Phone:845-268-2857
Practice Address - Fax:845-268-6227
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032511122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist