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NPI Code Detail

MEDICARE: DULCE M ALMANZAR M.D.

MEDICARE: DULCE M ALMANZAR 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
1207Q00000XFamily Medicine Physician223428NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1051206000006OTHERFIDELIS
2223428POTHERHIP HEALTHCARE OF NY
3P2866471OTHEROXFORD HEALTH PLAN
45508D1OTHERNYEMPIRE BLUE CROSS BLUE SH
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760458715
Entity Type Code : Individual
Provider Name (Legal Business Name) : DULCE M ALMANZAR M.D.
Provider Business Mailing Address
First Line : 152 GENEVA ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-4636
Country : US
Telephone Number : 631-647-3265
Fax Number : 631-647-3266
Provider Business Practice Location Address
First Line : 1377 5TH AVE
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-4131
Country : US
Telephone Number : 631-647-3265
Fax Number : 631-647-3266
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 06/02/2010

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