MEDICARE: DR. ALEJANDRA M URIBE 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	207Q00000X	Family Medicine Physician	227057	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578505392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEJANDRA M URIBE D.O.

Provider Business Mailing Address
First Line	:	2202 STEINWAY ST
Second Line	:	BORO MEDICAL, P.C.
City	:	ASTORIA
State	:	NY
Zip	:	11105-1836
Country	:	US
Telephone Number	:	718-423-0808
Fax Number	:	718-204-6866

Provider Business Practice Location Address
First Line	:	71 METROPOLITAN OVAL
Second Line	:	BORO MEDICAL, P.C,
City	:	BRONX
State	:	NY
Zip	:	10462-6402
Country	:	US
Telephone Number	:	718-829-6436
Fax Number	:	718-829-6445

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

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	07/31/2013

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