Provider Demographics
NPI:1861411365
Name:FURMAN, ALICE (MD)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:
Last Name:FURMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 E 86TH ST
Mailing Address - Street 2:APT 2D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-3623
Mailing Address - Country:US
Mailing Address - Phone:212-426-0190
Mailing Address - Fax:212-426-0196
Practice Address - Street 1:70 E 90TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1233
Practice Address - Country:US
Practice Address - Phone:212-426-0190
Practice Address - Fax:212-426-0196
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192769207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW35592OtherGROUP MEDICARE PIN
NY44J7535592Medicare PIN
NYG11742Medicare UPIN