Provider Demographics
NPI:1619689254
Name:ALPHONSE NARCIUS, MONOD
Entity Type:Individual
Prefix:
First Name:MONOD
Middle Name:
Last Name:ALPHONSE NARCIUS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 MILLER PLACE MIDDLE ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2919
Mailing Address - Country:US
Mailing Address - Phone:516-851-6437
Mailing Address - Fax:
Practice Address - Street 1:84 MILLER PLACE MIDDLE ISLAND RD
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2919
Practice Address - Country:US
Practice Address - Phone:516-851-6437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY118151104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker