Healthcare Provider Details

I. General information

NPI: 1245688381
Provider Name (Legal Business Name): ALEX MATHEW PHILIP RHIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2016
Last Update Date: 05/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 RENSSELAER DR
SPRING VALLEY NY
10977-1828
US

IV. Provider business mailing address

13 RENSSELAER DR
SPRING VALLEY NY
10977-1828
US

V. Phone/Fax

Practice location:
  • Phone: 845-803-0499
  • Fax:
Mailing address:
  • Phone: 845-803-0499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number0042247
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: