1760470173 NPI number — ALFRED TINGER MD

Table of content: ALFRED TINGER MD (NPI 1760470173)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760470173 NPI number — ALFRED TINGER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TINGER
Provider First Name:
ALFRED
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1760470173
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/12/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2234 COLONIAL BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT MYERS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33907-1412
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
239-931-7342
Provider Business Mailing Address Fax Number:
239-931-7385

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
970 N BROADWAY
Provider Second Line Business Practice Location Address:
SUITE 101-102
Provider Business Practice Location Address City Name:
YONKERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10701-1309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-969-1600
Provider Business Practice Location Address Fax Number:
914-969-1685
Provider Enumeration Date:
10/10/2005

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: 2085R0001X , with the licence number:  206193-1 , 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: 131740118 . This is a "COMMUNITY CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 131740118 . This is a "GALAXY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000551340102 . This is a "HEALTH PLUS (BRONX)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 10102758 . This is a "CHPHP U104" identifier . This identifiers is of the category "OTHER".
  • Identifier: 131740118 . This is a "DEVON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1096618 . This is a "AETNA HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 131740118 . This is a "CHN SOLUTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2443E1 . This is a "BCBS SENIOR PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 131740118 . This is a "ATLANTIS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 131740118 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4193159 . This is a "GHI PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000551340101 . This is a "HEALTH PLUSE (YONKERS)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1000017634 . This is a "AFFINITY HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 131740118 . This is a "BEECH STREET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 131740118 . This is a "CCN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 131740118 . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5597619 . This is a "AETNA PPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 8237219 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01748181 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2443E1 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".




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