Individual
DR. ALISA SPIVEY-CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3424 KOSSUTH AVE, BRONX, NY 10467-2410
(718) 519-3021
(718) 519-5001
Mailing address
4348 BARNES AVE, BRONX, NY 10466-1617
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
234684
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
234684
NY
Other
Enumeration date
01/25/2007
Last updated
08/26/2015
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