Provider Demographics
NPI:1942398359
Name:ALEVI, ISAAC (MD)
Entity Type:Individual
Prefix:
First Name:ISAAC
Middle Name:
Last Name:ALEVI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1575 HILLSIDE AVE
Mailing Address - Street 2:STE 202
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2501
Mailing Address - Country:US
Mailing Address - Phone:516-280-8202
Mailing Address - Fax:516-280-8204
Practice Address - Street 1:1575 HILLSIDE AVE
Practice Address - Street 2:STE 202
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-2501
Practice Address - Country:US
Practice Address - Phone:516-280-8202
Practice Address - Fax:516-280-8204
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2017-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY233996207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7L1491Medicare ID - Type Unspecified