Provider Demographics
NPI:1295274454
Name:NISAR ALVI M.D. P.C.
Entity type:Organization
Organization Name:NISAR ALVI M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NISAR
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:ALVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-528-7099
Mailing Address - Street 1:2613 PINEBLUFF DR
Mailing Address - Street 2:
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-2909
Mailing Address - Country:US
Mailing Address - Phone:516-528-7099
Mailing Address - Fax:
Practice Address - Street 1:2613 PINEBLUFF DR
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-2909
Practice Address - Country:US
Practice Address - Phone:516-528-7099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233562208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty