MEDICARE: ALEXANDER ALLEN 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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	2084N0400X	Neurology Physician	298967	NY

General Provider Information

NPI Number	:	1710372636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER ALLEN M.D.

Provider Business Mailing Address
First Line	:	555 MADISON AVENUE
Second Line	:	THIRD FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10022-6402
Country	:	US
Telephone Number	:	646-754-2000
Fax Number	:	646-754-9690

Provider Business Practice Location Address
First Line	:	555 MADISON AVENUE
Second Line	:	THIRD FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10022-6402
Country	:	US
Telephone Number	:	646-754-2000
Fax Number	:	646-754-9690

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

Provider Enumeration Date	:	03/30/2015
Last Update Date	:	06/08/2026

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