Organization
ALIVE HEALTHCARE & MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE ANDRE MD (CEO)
(347) 392-7208
Entity
Organization
Contact information
Practice address
152 N OCEAN AVE, PATCHOGUE, NY 11772-2004
(347) 392-7208
Mailing address
11 ALYSSUM AVE, HUNTINGTON, NY 11743-5606
(347) 392-7208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
Other
Enumeration date
05/16/2013
Last updated
05/21/2013
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