Individual
ILENE ALT
Active
Individual
ILENE ALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F360040
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00021042303
UNIVERA
NY
01
—
000560305006
BC/BS
NY
05
—
02343451
—
NY
01
—
9511820
IHA
NY
Enumeration date
01/04/2006
Last updated
04/29/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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