Basic Information
Provider Information
NPI: 1003084203
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALUKAL
FirstName: JOSEPH
MiddleName: PAUL
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1233 YORK AVE
Address2: APARTMENT 10N
City: NEW YORK
State: NY
PostalCode: 100656306
CountryCode: US
TelephoneNumber: 6172903263
FaxNumber:  
Practice Location
Address1: 150 E 32ND ST
Address2: 2ND FLOOR
City: NEW YORK
State: NY
PostalCode: 100166024
CountryCode: US
TelephoneNumber: 6468256300
FaxNumber: 6468256399
Other Information
ProviderEnumerationDate: 02/11/2008
LastUpdateDate: 07/21/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208800000X248400NYY Allopathic & Osteopathic PhysiciansUrology 

No ID Information.


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