Healthcare Provider Details

I. General information

NPI: 1659302990
Provider Name (Legal Business Name): MICHAEL JAMES ALAIMO D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 01/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 HEMPSTEAD AVE
MALVERNE NY
11565-2036
US

IV. Provider business mailing address

80 HEMPSTEAD AVE
MALVERNE NY
11565-2036
US

V. Phone/Fax

Practice location:
  • Phone: 516-599-9393
  • Fax: 516-887-6783
Mailing address:
  • Phone: 516-599-9393
  • Fax: 516-887-6783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number200741
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: