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NPI Code Detail

MEDICARE: DANIEL ALICEA MD

MEDICARE: DANIEL ALICEA MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1528858388
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL ALICEA MD
Provider Business Mailing Address
First Line : 100 CO OP CITY BLVD APT 2C
Second Line :
City : BRONX
State : NY
Zip : 10475-3860
Country : US
Telephone Number : 646-538-9909
Fax Number :
Provider Business Practice Location Address
First Line : 234 E 149TH ST
Second Line :
City : BRONX
State : NY
Zip : 10451-5504
Country : US
Telephone Number : 718-579-6034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2025
Last Update Date : 05/04/2026

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