Provider Demographics
NPI:1275246803
Name:ALPERT, PAUL S (RDMS,RVS, RDCS)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:S
Last Name:ALPERT
Suffix:
Gender:M
Credentials:RDMS,RVS, RDCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 RUTLAND RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-1503
Mailing Address - Country:US
Mailing Address - Phone:516-770-9047
Mailing Address - Fax:
Practice Address - Street 1:445 RUTLAND RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-1503
Practice Address - Country:US
Practice Address - Phone:516-770-9047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-28
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2117202085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound