MEDICARE: MISS ALICIA MICHELLE WIGGINS 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	207Q00000X	Family Medicine Physician	01071585A	IN
2	207Q00000X	Family Medicine Physician	2663701	NY

General Provider Information

NPI Number	:	1407151632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ALICIA MICHELLE WIGGINS M.D.

Provider Business Mailing Address
First Line	:	4408 LOCUST POINT DR
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-4038
Country	:	US
Telephone Number	:	716-857-0553
Fax Number	:	585-626-6061

Provider Business Practice Location Address
First Line	:	1285 FULTON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-3401
Country	:	US
Telephone Number	:	716-857-0553
Fax Number	:	585-626-6061

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

Provider Enumeration Date	:	01/19/2011
Last Update Date	:	10/10/2016

Similar Medicare Providers

1942250576 — MR. ROBERT DUPRE WALSH MD
Practice Location Address:

1265 FULTON AVENUE , BRONX LEBENON SPECIAL CARE CENTER
BRONX, NY
10456-3401

Practice Phone: 718-579-7060
Practice Fax: 718-579-7417

1245327907 — JYOTI S DRALL P.T
Practice Location Address:

1265 FULTON AVE
BRONX, NY
10456-3401

Practice Phone: 718-579-7049
Practice Fax:

1649341314 — MR. MARIANO DELPILAR LMSW
Practice Location Address:

1285 FULTON AVE , LIFE RECOVERY CENTER BRONX LEBANON CENTER
BRONX, NY
10456-3401

Practice Phone: 718-518-3755
Practice Fax: 718-518-3710

1134364532 — DR. MAUREEN MARY YUNKAP KWANKAM M.D., MPH
Practice Location Address:

1265 FULTON AVE
BRONX, NY
10456-3401

Practice Phone: 718-901-8294
Practice Fax:

1376868125 — SIBY GEORGE
Practice Location Address:

1275 FULTON AVE
BRONX, NY
10456-3401

Practice Phone: 718-579-7006
Practice Fax:

1053740167 — KETTLENE CASIMIR
Practice Location Address:

1241 FULTON AVE , 2ND FLOOR
BRONX, NY
10456-3401

Practice Phone: 774-268-0410
Practice Fax:

Directions to “ MISS ALICIA MICHELLE WIGGINS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.