Healthcare Provider Details

I. General information

NPI: 1972701092
Provider Name (Legal Business Name): STEVEN CRAIG ALEXANDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 06/28/2022
Certification Date: 06/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 30TH AVE
ASTORIA NY
11103-4696
US

IV. Provider business mailing address

660 WHITE PLAINS RD STE 400
TARRYTOWN NY
10591-5107
US

V. Phone/Fax

Practice location:
  • Phone: 718-726-7000
  • Fax: 718-726-7110
Mailing address:
  • Phone: 914-984-2546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number245061
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: