Provider Demographics
NPI:1891377552
Name:MARIAM, ALYCE APPLEMAN
Entity type:Individual
Prefix:MRS
First Name:ALYCE
Middle Name:APPLEMAN
Last Name:MARIAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 COUNTRY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-1046
Mailing Address - Country:US
Mailing Address - Phone:917-602-4638
Mailing Address - Fax:
Practice Address - Street 1:89 COUNTRY RIDGE DR
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-1046
Practice Address - Country:US
Practice Address - Phone:917-602-4638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist