Provider Demographics
NPI:1912054024
Name:ALCERA, ERIC CORTEZ (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:CORTEZ
Last Name:ALCERA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:462 1ST AVE
Mailing Address - Street 2:ROOM 21S8
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9196
Mailing Address - Country:US
Mailing Address - Phone:212-263-2389
Mailing Address - Fax:212-263-0202
Practice Address - Street 1:115 CENTRAL PARK W
Practice Address - Street 2:SUITE 5
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4198
Practice Address - Country:US
Practice Address - Phone:347-880-0401
Practice Address - Fax:212-579-3430
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2009-09-10
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Provider Licenses
StateLicense IDTaxonomies
NY2355762084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI72994Medicare UPIN
NY689BP1Medicare PIN