MEDICARE: KATHRYN F. ALCAREZ, D.O.

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	261Q00000X	Clinic/Center	236953	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2600544	OTHER	NY	UNITED
2	7687797	OTHER	NY	AETNA PPO
3	P3806309	OTHER	NY	OXFORD
4	1181062	OTHER	NY	AETNA HMO
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265625776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATHRYN F. ALCAREZ, D.O.

Provider Business Mailing Address
First Line	:	PO BOX 1173
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10159-1173
Country	:	US
Telephone Number	:	212-420-0425
Fax Number	:	212-533-2519

Provider Business Practice Location Address
First Line	:	130 E 18TH ST STE 1U
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-2416
Country	:	US
Telephone Number	:	212-420-0425
Fax Number	:	212-533-2519

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KATHRYN F ALCAREZ
Credential	:	D.O.
Telephone Number	:	212-420-0425

Provider Enumeration Date	:	08/20/2007
Last Update Date	:	10/03/2007

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