Provider Demographics
NPI:1619286887
Name:ANTHONY S. ALESSI DMD, MD
Entity Type:Organization
Organization Name:ANTHONY S. ALESSI DMD, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT ACCOUNTS
Authorized Official - Prefix:
Authorized Official - First Name:MATHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-827-8159
Mailing Address - Street 1:4 MARTINE AVE
Mailing Address - Street 2:APT # 1518
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-4016
Mailing Address - Country:US
Mailing Address - Phone:914-261-5644
Mailing Address - Fax:
Practice Address - Street 1:4 MARTINE AVE
Practice Address - Street 2:APT # 1518
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10606-4016
Practice Address - Country:US
Practice Address - Phone:914-261-5644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY24766211223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty