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NPI Code Detail

MEDICARE: DR. DAVID ERIC ALEDORT M.D.

MEDICARE: DR. DAVID ERIC ALEDORT M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician143570NY

General Provider Information

NPI Number : 1407841281
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID ERIC ALEDORT M.D.
Provider Business Mailing Address
First Line : 764 ADDISON ST
Second Line :
City : WOODMERE
State : NY
Zip : 11598-2938
Country : US
Telephone Number : 516-569-5062
Fax Number : 718-951-2987
Provider Business Practice Location Address
First Line : 3201 KINGS HWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-2625
Country : US
Telephone Number : 718-951-2941
Fax Number : 718-951-2857
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2005
Last Update Date : 11/23/2007

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