Individual
ALPHONSE AVERSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 S BEDFORD RD, CARE MOUNT MEDICAL RD, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-1516
Mailing address
110 S BEDFORD RD, CAREMOUNT MEDICAL PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
137745
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0667910001
DME
NY
01
—
110146216
MEDICARE RAILROAD
NY
Enumeration date
05/10/2006
Last updated
11/11/2016
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