Provider Demographics
NPI:1588404057
Name:ALDER, LUKE MORALES (MD, MS, MPH)
Entity type:Individual
Prefix:DR
First Name:LUKE
Middle Name:MORALES
Last Name:ALDER
Suffix:
Gender:M
Credentials:MD, MS, MPH
Other - Prefix:
Other - First Name:LUKE
Other - Middle Name:CHARLES
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:142 LUQUER ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-1997
Mailing Address - Country:US
Mailing Address - Phone:718-757-8158
Mailing Address - Fax:
Practice Address - Street 1:550 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-5506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program