Provider Demographics
NPI:1902492473
Name:KATHY ALIGENE, M.D. , PLLC
Entity Type:Organization
Organization Name:KATHY ALIGENE, M.D. , PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIGENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-693-0963
Mailing Address - Street 1:1 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-1929
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 MADISON AVE
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-1929
Practice Address - Country:US
Practice Address - Phone:646-693-0963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty