Individual
DR. MYRIAN MERCEDES ALEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 E 210TH ST, BRONX, NY 10467
(718) 920-5312
(718) 798-6485
Mailing address
110 E 210TH ST, BRONX, NY 10467-2402
(718) 920-5312
(718) 798-6485
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
299139
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26277
BCBS
FL
05
—
376549100
—
FL
Enumeration date
02/03/2006
Last updated
12/03/2019
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