MEDICARE: MR. PATRICK E ALCINDOR

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	183500000X	Pharmacist	041631	NY

General Provider Information

NPI Number	:	1871763128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PATRICK E ALCINDOR

Provider Business Mailing Address
First Line	:	1441 BROADWAY AVE
Second Line	:	3RD FLR
City	:	NEW YORK
State	:	NY
Zip	:	10018-6002
Country	:	US
Telephone Number	:	646-787-6436
Fax Number	:

Provider Business Practice Location Address
First Line	:	2175 HUDSON TER APT 1G
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-7704
Country	:	US
Telephone Number	:	646-787-6436
Fax Number	:

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

Provider Enumeration Date	:	03/03/2008
Last Update Date	:	08/02/2022

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