Basic Information
Provider Information
NPI: 1508086224
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALPER
FirstName: STEVEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: P.A.-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 259 1ST ST
Address2: WINTHROP UNIVERSITY HOSPITAL GP4
City: MINEOLA
State: NY
PostalCode: 115013957
CountryCode: US
TelephoneNumber: 5166632384
FaxNumber: 5166638288
Practice Location
Address1: 259 1ST ST
Address2: WINTHROP UNIVERSITY HOSPITAL GP4
City: MINEOLA
State: NY
PostalCode: 115013957
CountryCode: US
TelephoneNumber: 5166632384
FaxNumber: 5166638288
Other Information
ProviderEnumerationDate: 04/26/2007
LastUpdateDate: 01/27/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AS0400X000783-1NYY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical

No ID Information.


Home