Provider Demographics
NPI:1801098777
Name:ALAS-HUN, SHEILA ANN BALTERO (MD)
Entity type:Individual
Prefix:DR
First Name:SHEILA ANN
Middle Name:BALTERO
Last Name:ALAS-HUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21966 HARTLAND AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11427-1226
Mailing Address - Country:US
Mailing Address - Phone:718-877-5383
Mailing Address - Fax:
Practice Address - Street 1:105 W 188 ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-5001
Practice Address - Country:US
Practice Address - Phone:718-563-0757
Practice Address - Fax:718-563-0756
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME017548207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432728699Medicaid
ME000412201Medicare PIN
ME432728699Medicaid