=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770136442
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALEXANDER MCLAWHORN MD PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/22/2019
-----------------------------------------------------
Last Update Date | 06/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 535 E 70TH ST
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10021-4823
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-606-1065
-----------------------------------------------------
Fax | 212-774-7317
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 626
-----------------------------------------------------
City | GREAT RIVER
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11739-0626
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-892-2745
-----------------------------------------------------
Fax | 631-201-3179
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AUTHORIZED OFFICIAL
-----------------------------------------------------
Name | DR. ALEXANDER S. MCLAWHORN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 212-606-1065
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------