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NPI 1598049884

NPI 1598049884 : ANGEL M ALCANTARA, MD PC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1598049884
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANGEL M ALCANTARA, MD PC 
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Dates
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    Enumeration Date     |    10/05/2011
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    Last Update Date     |    11/13/2025
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Provider Practice Location Address
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    Address Line         |    2360 AMSTERDAM AVE SUITE M-2
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10033-7362
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    Country              |    US
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    Telephone            |    646-678-5222
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    Fax                  |    646-678-5119
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Provider Business Mailing Address
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    Address Line         |    2360 AMSTERDAM AVE APT M2 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10033-7364
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    Country              |    US
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    Telephone            |    646-678-5222
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    Fax                  |    646-678-5119
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Authorized Official
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    Title or Position    |    ACCOUNT MANAGER
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    Name                 |    DR. ANGEL  ALCANTARA 
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    Credential           |    MD
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    Telephone            |    917-917-3639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    214535
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    License Number State |    NY
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