Provider Demographics
NPI:1083888432
Name:SEIFAN, ALON (MD)
Entity type:Individual
Prefix:DR
First Name:ALON
Middle Name:
Last Name:SEIFAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:747 W 231ST ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1003
Mailing Address - Country:US
Mailing Address - Phone:305-395-4313
Mailing Address - Fax:954-840-8254
Practice Address - Street 1:18 E 41ST ST FL 14
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6244
Practice Address - Country:US
Practice Address - Phone:305-395-4313
Practice Address - Fax:954-840-8254
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1652832084B0040X
NY265031-012084B0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL120655800Medicaid
NYA300274495OtherNEURO PHYSICH
NY03918792Medicaid
FLIY089AOther1679018089
FLIP037XOther1083888432