Provider Demographics
NPI:1265720221
Name:MEDCAREPLUS, PLLC
Entity type:Organization
Organization Name:MEDCAREPLUS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALSENY
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:502-572-9990
Mailing Address - Street 1:96 KENSINGTON MNR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-1800
Mailing Address - Country:US
Mailing Address - Phone:502-572-9990
Mailing Address - Fax:
Practice Address - Street 1:1643 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10472-2916
Practice Address - Country:US
Practice Address - Phone:718-328-1900
Practice Address - Fax:718-328-1901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY250592261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care