Provider Demographics
NPI:1184678260
Name:ALCAREZ, KATHRYN F (DO)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:F
Last Name:ALCAREZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 EAST 32NS STREET
Mailing Address - Street 2:SUITE 303
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-725-5300
Mailing Address - Fax:212-725-5590
Practice Address - Street 1:145 EAST 32ND STREET
Practice Address - Street 2:SUITE 303
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-725-5300
Practice Address - Fax:212-725-5590
Is Sole Proprietor?:No
Enumeration Date:2006-05-21
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236953207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02692780Medicaid
NY338AL1Medicare ID - Type Unspecified
NY02692780Medicaid
338ALEP391Medicare PIN
NYI44906Medicare UPIN
NYW00911Medicare PIN