Healthcare Provider Details

I. General information

NPI: 1548654908
Provider Name (Legal Business Name): ALICIA AYCINENA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2015
Last Update Date: 09/21/2025
Certification Date: 09/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 GEARY BLVD
SAN FRANCISCO CA
94115-3305
US

IV. Provider business mailing address

1400 PELHAM PKWY S JACOBI MEDICAL CENTER
BRONX NY
10461-1138
US

V. Phone/Fax

Practice location:
  • Phone: 415-833-2998
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License NumberA154760
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: