Individual
MEHRDAD ALAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
4422 THIRD AVENUE, ST. BARNABAS HOSPITAL, BRONX, NY 10457
(718) 960-6103
(718) 960-6125
Mailing address
5 STACEY CT, PEEKSKILL, NY 10566-2502
(914) 433-3281
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
248192-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03014362
—
NY
05
—
412800100
—
MD
05
—
451601000
—
MD
01
—
P00418705
RAILROAD
MD
Enumeration date
02/28/2007
Last updated
10/03/2008
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