Provider Demographics
NPI:1790855906
Name:SCALMATI, ALESSANDRA (MD,PHD)
Entity Type:Individual
Prefix:
First Name:ALESSANDRA
Middle Name:
Last Name:SCALMATI
Suffix:
Gender:F
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 W 239TH ST
Mailing Address - Street 2:APT. 4A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1291
Mailing Address - Country:US
Mailing Address - Phone:718-671-3135
Mailing Address - Fax:718-320-1116
Practice Address - Street 1:MMG - CO-OP CITY
Practice Address - Street 2:2100 BARTOW AVENUE, STE. 311
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475
Practice Address - Country:US
Practice Address - Phone:718-671-3135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2342622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry