Provider Demographics
NPI:1316231103
Name:CATHERINE ALIKOR MPI, PHYSICIAN PC
Entity Type:Organization
Organization Name:CATHERINE ALIKOR MPI, PHYSICIAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:NDAALU
Authorized Official - Last Name:ALIKOR MPI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-523-2727
Mailing Address - Street 1:914 DANA AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-1309
Mailing Address - Country:US
Mailing Address - Phone:718-523-2727
Mailing Address - Fax:718-206-3059
Practice Address - Street 1:8918 134TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-2819
Practice Address - Country:US
Practice Address - Phone:718-523-2727
Practice Address - Fax:718-206-3059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care