Individual
PATRICIA E. ALCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 ATLANTIC AVE, GREENPORT, NY 11944-1203
(631) 477-1871
(631) 477-0219
Mailing address
300 ATLANTIC AVE, GREENPORT, NY 11944-1203
(631) 477-1871
(631) 477-0219
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420040-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01572132
—
NY
01
—
040426011111
FIDELIS
NY
01
—
1000044671
AFFINITY
NY
01
—
100194912101
UNITED HLTHCRE-MD,CHP,FHP
NY
01
—
113432
VYTRA
NY
01
—
AA71829
MDNY
NY
01
—
P3603456
OXFORD
NY
Enumeration date
11/28/2006
Last updated
07/08/2007
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