Provider Demographics
NPI:1821574351
Name:ALFRED BIRCAJ MD PC
Entity Type:Organization
Organization Name:ALFRED BIRCAJ MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRCAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD PC
Authorized Official - Phone:845-582-0049
Mailing Address - Street 1:55 KANE AVE
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-2022
Mailing Address - Country:US
Mailing Address - Phone:845-582-0049
Mailing Address - Fax:845-363-1806
Practice Address - Street 1:88 ROCK RIMMON RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06903-2817
Practice Address - Country:US
Practice Address - Phone:203-322-3428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility