Healthcare Provider Details

I. General information

NPI: 1861525875
Provider Name (Legal Business Name): ALAMGIR ISANI MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 11/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 E 37TH ST SUITE 201
NEW YORK NY
10016-3256
US

IV. Provider business mailing address

345 E 37TH ST SUITE 201
NEW YORK NY
10016-3256
US

V. Phone/Fax

Practice location:
  • Phone: 212-986-9494
  • Fax: 212-986-7737
Mailing address:
  • Phone: 212-986-9494
  • Fax: 212-986-7737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number136189
License Number StateNY

VIII. Authorized Official

Name: DINORAH RUIZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 212-986-9494