Healthcare Provider Details

I. General information

NPI: 1285045120
Provider Name (Legal Business Name): AMIRA A.M ALFIL MD,MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2014
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BROOKDALE PLAZA, 8 CHC
BROOKLYN NY
11212
US

IV. Provider business mailing address

1 BROOKDALE PLAZA 8 CHC
BROOKLYN NY
11212
US

V. Phone/Fax

Practice location:
  • Phone: 718-240-5893
  • Fax:
Mailing address:
  • Phone: 718-240-5893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036140936
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: