Healthcare Provider Details

I. General information

NPI: 1437273380
Provider Name (Legal Business Name): MVH MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2007
Last Update Date: 09/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 N 7TH AVE
MT VERNON NY
10550-2026
US

IV. Provider business mailing address

PO BOX 2149
DANBURY CT
06813-2149
US

V. Phone/Fax

Practice location:
  • Phone: 914-664-8000
  • Fax: 914-668-7233
Mailing address:
  • Phone: 203-775-6659
  • Fax: 203-775-6692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DARIUSH ALAIE
Title or Position: PRESIDENT
Credential: MD
Phone: 914-668-3806