Provider Demographics
NPI:1023115748
Name:ALPERN, ZVI A (MD)
Entity type:Individual
Prefix:MR
First Name:ZVI
Middle Name:A
Last Name:ALPERN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:48 ROUTE 25A
Mailing Address - Street 2:STE 307
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-1431
Mailing Address - Country:US
Mailing Address - Phone:631-265-0062
Mailing Address - Fax:631-265-0590
Practice Address - Street 1:48 ROUTE 25A
Practice Address - Street 2:STE 307
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-1431
Practice Address - Country:US
Practice Address - Phone:631-265-0062
Practice Address - Fax:631-265-0590
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY154485207R00000X
NY156485207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A40458Medicare UPIN
NY54D291Medicare PIN