Provider Demographics
NPI:1497785901
Name:ALFANDRE, DAVID J (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:ALFANDRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:423 E 23RD ST
Mailing Address - Street 2:NATIONAL CENTER FOR ETHICS
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-5011
Mailing Address - Country:US
Mailing Address - Phone:212-951-3306
Mailing Address - Fax:212-951-3353
Practice Address - Street 1:423 E 23RD ST
Practice Address - Street 2:NATIONAL CENTER FOR ETHICS
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5011
Practice Address - Country:US
Practice Address - Phone:212-951-3306
Practice Address - Fax:212-951-3353
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY227507207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I06419Medicare UPIN
013SR1Medicare ID - Type Unspecified