MEDICARE: KATHY ALIGENE 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	208VP0014X	Interventional Pain Medicine Physician	285793	NY
2	208100000X	Physical Medicine & Rehabilitation Physician	285793	NY

General Provider Information

NPI Number	:	1225329402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHY ALIGENE M.D.

Provider Business Mailing Address
First Line	:	1450 MADISON AVE
Second Line	:	BOX 1240
City	:	NEW YORK
State	:	NY
Zip	:	10029-6508
Country	:	US
Telephone Number	:	212-659-9351
Fax Number	:

Provider Business Practice Location Address
First Line	:	475 48TH AVE
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11109-5501
Country	:	US
Telephone Number	:	347-987-2941
Fax Number	:

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

Provider Enumeration Date	:	04/22/2011
Last Update Date	:	07/11/2022

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