Provider Demographics
NPI:1962844803
Name:ORLICK, ALEC (NP)
Entity Type:Individual
Prefix:MR
First Name:ALEC
Middle Name:
Last Name:ORLICK
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 177TH DR APT 504
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2844
Mailing Address - Country:US
Mailing Address - Phone:917-656-6119
Mailing Address - Fax:706-948-8819
Practice Address - Street 1:200 177TH DR APT 504
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-2844
Practice Address - Country:US
Practice Address - Phone:917-656-6119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9492350363LP0808X
NY401629363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health