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General NPI Number Information
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NPI Number | 1114136967
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Entity Type | Individual
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Provider Name | ALYSON NICOLE FOX MD
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 04/15/2019
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Provider Practice Location Address
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Address Line | 622 WEST 168TH STREET DIVISION OF GASTROENTEROLOGY AND HEPATOLOGY
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City | NEW YORK
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State | NY
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Zip | 10032
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Country | US
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Telephone | 212-305-0914
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Fax | 212-305-4343
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Provider Business Mailing Address
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Address Line | PO BOX 27765
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City | NEW YORK
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State | NY
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Zip | 10087-7765
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Country | US
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Telephone | 212-305-9576
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Fax | 212-305-9480
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RT0003X
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Taxonomy Name | Transplant Hepatology Physician
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License Number | 239991
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License Number State | NY
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