Provider Demographics
NPI:1457577942
Name:ALERTE, FANELL (MD)
Entity type:Individual
Prefix:
First Name:FANELL
Middle Name:
Last Name:ALERTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 LINDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2818
Mailing Address - Country:US
Mailing Address - Phone:718-856-6800
Mailing Address - Fax:718-856-6877
Practice Address - Street 1:412 LINDEN BLVD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2818
Practice Address - Country:US
Practice Address - Phone:718-856-6800
Practice Address - Fax:718-856-6877
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY151846207VH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative Medicine