MEDICARE: ALICIA HUMPHREY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1114652823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA HUMPHREY

Provider Business Mailing Address
First Line	:	6214 RIVERDALE AVE STE 1A
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10471-1032
Country	:	US
Telephone Number	:	347-918-1833
Fax Number	:

Provider Business Practice Location Address
First Line	:	1115 E 215TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-2401
Country	:	US
Telephone Number	:	347-918-1833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2022
Last Update Date	:	07/18/2022

Similar Medicare Providers

1306827456 — PELHAM PARKWAY NURSING CARE & REHABILITATION FACILITY, LLC
Practice Location Address:

2401 LACONIA AVE
BRONX, NY
10469-1406

Practice Phone: 718-798-8600
Practice Fax: 718-654-1057

1871808675 — MS. ELENI PORFYRIS PHARMD
Practice Location Address:

2401 LACONIA AVE
BRONX, NY
10469-1406

Practice Phone: 718-798-8600
Practice Fax:

1861980492 — JANET A WANZER
Practice Location Address:

1105 E 215TH ST
BRONX, NY
10469-2401

Practice Phone: 212-300-7954
Practice Fax:

1396329587 — OYEFUNSO OYENIRAN P.T.
Practice Location Address:

2401 LACONIA AVE
BRONX, NY
10469-1406

Practice Phone: 304-710-7366
Practice Fax:

1093663973 — OJADI FAMILY HEALTH NP PLLC
Practice Location Address:

2906 EASTCHESTER RD
BRONX, NY
10469-3305

Practice Phone: 646-238-8135
Practice Fax:

1083145403 — JANIQUE ROSA LMSW, CASAC 2
Practice Location Address:

2932 FENTON AVE
BRONX, NY
10469-5506

Practice Phone: 917-859-3376
Practice Fax:

Directions to “ ALICIA HUMPHREY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.