Organization
ANGEL ALCANTARA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL ALCANTARA M.D. (PHYSICIAN)
(212) 928-5959
Entity
Organization
Contact information
Practice address
130 WADSWORTH AVE, 4, NEW YORK, NY 10033-4814
(212) 928-5959
(212) 928-5189
Mailing address
130 WADSWORTH AVE, 4, NEW YORK, NY 10033-4814
(212) 928-5959
(212) 928-5189
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
214535
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02086322
—
NY
Enumeration date
04/13/2009
Last updated
04/13/2009
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