Provider Demographics
NPI:1215092556
Name:VOLO, ALFRED M (PHD)
Entity type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:M
Last Name:VOLO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1444 MASSACHUSETTS AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-1600
Mailing Address - Country:US
Mailing Address - Phone:518-274-2336
Mailing Address - Fax:518-274-2336
Practice Address - Street 1:1444 MASSACHUSETTS AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-1600
Practice Address - Country:US
Practice Address - Phone:518-274-2336
Practice Address - Fax:518-274-2336
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010837103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7365224OtherAETNA PROVIDER NUMBER
NYV9A92OtherEMPIRE BC PROVIDER NUMBER
NY01627072Medicaid
NY6803230OtherGHI PIN NUMBER
NYIP448304OtherMAGELLAN PROVIDER NUMBER
NY211456385OtherUBH USER ID NUMBER
NY1061751OtherCHAMPUS PROVIDER NUMBER
ALPVPB238397OtherAPS PROVIDER NUMBER
NY000470583002OtherHELTHNOW PROVIDER NUMBER
NYIP448304OtherMAGELLAN PROVIDER NUMBER