Provider Demographics
NPI:1124277462
Name:BARCLIFT, ALFRED DORIAN (MSPED)
Entity type:Individual
Prefix:
First Name:ALFRED
Middle Name:DORIAN
Last Name:BARCLIFT
Suffix:
Gender:M
Credentials:MSPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 GAVIN ST APT 3G
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-5652
Mailing Address - Country:US
Mailing Address - Phone:914-751-7477
Mailing Address - Fax:
Practice Address - Street 1:82 GAVIN ST APT 3G
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-5652
Practice Address - Country:US
Practice Address - Phone:914-751-7477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJB05560216403712174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist