Healthcare Provider Details

I. General information

NPI: 1790362853
Provider Name (Legal Business Name): ALICE MEI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 WEST MONTAUK HWY BLDG B SUITE H
HAMPTON BAYS NY
11946
US

IV. Provider business mailing address

4 SPRINGVILLE RD STE B
HAMPTON BAYS NY
11946-2290
US

V. Phone/Fax

Practice location:
  • Phone: 631-723-0022
  • Fax: 631-723-3304
Mailing address:
  • Phone: 631-283-2430
  • Fax: 631-283-7496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number330270
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number330270-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: