Provider Demographics
NPI:1942409024
Name:GREGORY R ALSIP MD PC
Entity Type:Organization
Organization Name:GREGORY R ALSIP MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:ALSIP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-223-1980
Mailing Address - Street 1:150 E 58TH ST
Mailing Address - Street 2:25TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10155-0002
Mailing Address - Country:US
Mailing Address - Phone:212-223-1980
Mailing Address - Fax:212-223-2390
Practice Address - Street 1:150 E 58TH ST
Practice Address - Street 2:25TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10155-0002
Practice Address - Country:US
Practice Address - Phone:212-223-1980
Practice Address - Fax:212-223-2390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1856642084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY185664OtherSTATE LICENSE
NYF57788Medicare UPIN
NYW99891Medicare PIN