Provider Demographics
NPI:1639274046
Name:ALPERT, IVANYA LANDON (MD)
Entity type:Individual
Prefix:
First Name:IVANYA
Middle Name:LANDON
Last Name:ALPERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:UPTOWN PEDIATRICS
Mailing Address - Street 2:1245 PARK AVENUE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128
Mailing Address - Country:US
Mailing Address - Phone:212-427-0540
Mailing Address - Fax:212-534-1086
Practice Address - Street 1:1245 PARK AVENUE
Practice Address - Street 2:UPTOWN PEDIATRICS
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128
Practice Address - Country:US
Practice Address - Phone:212-427-0540
Practice Address - Fax:212-534-1086
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2241072080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
BA8578823OtherDEA