MEDICARE: CLAUDE LAWRENCE ALBERTARIO RPSGT, RST

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	174400000X	Specialist	000147-1	NY
2	174H00000X	Health Educator	000147-1	NY
3	246Z00000X	Other Specialist/Technologist	000147-1	NY
4	2472E0500X	EEG Technician	000147-1	NY
5	171M00000X	Case Manager/Care Coordinator	000147-1	NY

General Provider Information

NPI Number	:	1912550542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDE LAWRENCE ALBERTARIO RPSGT, RST

Provider Business Mailing Address
First Line	:	3334 BAYFIELD BLVD
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-4622
Country	:	US
Telephone Number	:	516-225-0421
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 E 70TH ST FL 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-4872
Country	:	US
Telephone Number	:	646-962-9354
Fax Number	:	646-962-0246

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

Provider Enumeration Date	:	07/23/2019
Last Update Date	:	11/27/2023

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