Healthcare Provider Details

I. General information

NPI: 1538524996
Provider Name (Legal Business Name): USHA ALFRED N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2015
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7403 COMMONWEALTH BLVD
BELLEROSE NY
11426-1839
US

IV. Provider business mailing address

7403 COMMONWEALTH BLVD
BELLEROSE NY
11426-1839
US

V. Phone/Fax

Practice location:
  • Phone: 516-728-1906
  • Fax:
Mailing address:
  • Phone: 516-728-1906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF402101-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number558878
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: