Healthcare Provider Details
I. General information
NPI: 1457394496
Provider Name (Legal Business Name): SERGE G. ALERTE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/14/2006
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16959 137TH AVE
ROCHDALE NY
11434
US
IV. Provider business mailing address
55 WATER ST FL 2
NEW YORK NY
10041-0010
US
V. Phone/Fax
- Phone: 718-525-5600
- Fax: 718-527-0922
- Phone: 646-680-2888
- Fax: 516-542-5556
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 189591 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: