MEDICARE: HOWARD ALFRED M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	174778	NY
2	208VP0014X	Interventional Pain Medicine Physician	174778	NY

General Provider Information

NPI Number	:	1063583748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD ALFRED M.D.

Provider Business Mailing Address
First Line	:	PO BOX 79
Second Line	:
City	:	BAYONNE
State	:	NJ
Zip	:	07002-0079
Country	:	US
Telephone Number	:	201-339-1700
Fax Number	:	201-339-6972

Provider Business Practice Location Address
First Line	:	2355 OCEAN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3150
Country	:	US
Telephone Number	:	201-339-1700
Fax Number	:	201-339-6972

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	05/13/2011

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