1205950169 NPI number — MS. MARY T ALFINITO L.C.S.W.R.

Table of content: MS. MARY T ALFINITO L.C.S.W.R. (NPI 1205950169)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205950169 NPI number — MS. MARY T ALFINITO L.C.S.W.R.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALFINITO
Provider First Name:
MARY
Provider Middle Name:
T
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
L.C.S.W.R.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205950169
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/05/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
28 BELDEN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARMEL
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10512-1021
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-721-2400
Provider Business Mailing Address Fax Number:
845-225-0367

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
77 TARRYTOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITE PLAINS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10607-1639
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-721-2400
Provider Business Practice Location Address Fax Number:
845-225-0367
Provider Enumeration Date:
03/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  032697-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 145110 . This is a "NYSHIP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 7484685 . This is a "VALUEOPTIONS PIN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 7484685 . This is a "GHI-BMP PIN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1018520 . This is a "HEALTHSOURCE PROV ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1018520 . This is a "BEACONHLTHSTRAT PROV ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 145110 . This is a "EMPIRE PLAN VALUE OPTIONS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 373120 . This is a "MVP HEALTHCARE PROV ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 145110 . This is a "VALUEOPTIONS MHS-TIN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: AM959074 . This is a "GHP-BMP PIN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 01478371 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1018520 . This is a "AFFINITY PROV ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: WS1357 . This is a "OXFORD PROV ID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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