Provider Demographics
NPI:1760470173
Name:TINGER, ALFRED (MD)
Entity Type:Individual
Prefix:
First Name:ALFRED
Middle Name:
Last Name:TINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:970 N BROADWAY
Practice Address - Street 2:SUITE 101-102
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1309
Practice Address - Country:US
Practice Address - Phone:914-969-1600
Practice Address - Fax:914-969-1685
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206193-12085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
131740118OtherCOMMUNITY CHOICE
131740118OtherGALAXY
NY000551340102OtherHEALTH PLUS (BRONX)
10102758OtherCHPHP U104
131740118OtherDEVON
NY1096618OtherAETNA HMO
131740118OtherCHN SOLUTIONS
2443E1OtherBCBS SENIOR PLAN
131740118OtherATLANTIS
131740118OtherCIGNA
4193159OtherGHI PPO
NY000551340101OtherHEALTH PLUSE (YONKERS)
1000017634OtherAFFINITY HEALTH PLAN
131740118OtherBEECH STREET
131740118OtherCCN
131740118OtherFIRST HEALTH
NY5597619OtherAETNA PPO
8237219OtherCIGNA
NY01748181Medicaid
2443E1OtherBCBS
131740118OtherFIRST HEALTH
4193159OtherGHI PPO