MEDICARE: AFSANA ALAM DO

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	207Q00000X	Family Medicine Physician	296827	NY

General Provider Information

NPI Number	:	1760843031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AFSANA ALAM DO

Provider Business Mailing Address
First Line	:	1756 ROUTE 9D
Second Line	:
City	:	COLD SPRING
State	:	NY
Zip	:	10516-2619
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1756 ROUTE 9D
Second Line	:
City	:	COLD SPRING
State	:	NY
Zip	:	10516-2619
Country	:	US
Telephone Number	:	845-809-5661
Fax Number	:

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

Provider Enumeration Date	:	03/15/2016
Last Update Date	:	12/09/2022

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