Provider Demographics
NPI:1932251576
Name:NUDMAN, ALFREDO (MD)
Entity Type:Individual
Prefix:DR
First Name:ALFREDO
Middle Name:
Last Name:NUDMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:152 MADISON AVE
Mailing Address - Street 2:SUITE 805
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5424
Mailing Address - Country:US
Mailing Address - Phone:212-481-4151
Mailing Address - Fax:917-720-9801
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:BOX 140
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4870
Practice Address - Country:US
Practice Address - Phone:212-746-4986
Practice Address - Fax:212-746-8877
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2016-06-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2499322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY8P2081Medicare PIN