MEDICARE: DR. KATHERINE ANN ALBERT 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
1	2084N0400X	Neurology Physician	182551	NY

General Provider Information

NPI Number	:	1962849893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE ANN ALBERT M.D.

Provider Business Mailing Address
First Line	:	400 E 85TH ST APT 14D
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-6315
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 E 85TH ST APT 14D
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-6315
Country	:	US
Telephone Number	:	917-715-4449
Fax Number	:

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

Provider Enumeration Date	:	06/01/2013
Last Update Date	:	06/01/2013

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