Provider Demographics
NPI:1063412708
Name:ALPERT, DANIEL J (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:ALPERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-1836
Mailing Address - Country:US
Mailing Address - Phone:914-437-5850
Mailing Address - Fax:914-437-5849
Practice Address - Street 1:345 E 37TH ST
Practice Address - Street 2:SUITE 317E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3256
Practice Address - Country:US
Practice Address - Phone:212-599-7910
Practice Address - Fax:212-490-0088
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-22
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY184815207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01722949Medicaid
NY30J602Medicare PIN
NY01722949Medicaid