Provider Demographics
NPI:1811337686
Name:ALLEVA, ALDO (MD)
Entity type:Individual
Prefix:
First Name:ALDO
Middle Name:
Last Name:ALLEVA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:36 SKILLMAN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-2204
Mailing Address - Country:US
Mailing Address - Phone:718-389-2382
Mailing Address - Fax:718-389-0747
Practice Address - Street 1:101 ST. ANDREWS LANE
Practice Address - Street 2:NSLIJ-GLEN COVE HOSPITAL
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542
Practice Address - Country:US
Practice Address - Phone:516-674-7631
Practice Address - Fax:516-674-7639
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2017-05-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2854131207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine