MEDICARE: MR. ALEC ORLICK NP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN9492350	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	401629	NY

General Provider Information

NPI Number	:	1962844803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALEC ORLICK NP

Provider Business Mailing Address
First Line	:	200 177TH DR APT 504
Second Line	:
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-2844
Country	:	US
Telephone Number	:	917-656-6119
Fax Number	:	706-948-8819

Provider Business Practice Location Address
First Line	:	200 177TH DR APT 504
Second Line	:
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-2844
Country	:	US
Telephone Number	:	917-656-6119
Fax Number	:

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

Provider Enumeration Date	:	07/19/2013
Last Update Date	:	01/03/2024

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