Basic Information
| Provider Information | |||||||||
| NPI: | 1063583748 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALFRED | ||||||||
| FirstName: | HOWARD | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 79 | ||||||||
| Address2: | |||||||||
| City: | BAYONNE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070020079 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2013391700 | ||||||||
| FaxNumber: | 2013396972 | ||||||||
| Practice Location | |||||||||
| Address1: | 2355 OCEAN AVE | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112293150 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2013391700 | ||||||||
| FaxNumber: | 2013396972 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/13/2006 | ||||||||
| LastUpdateDate: | 05/13/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | 174778 | NY | Y | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 208VP0014X | 174778 | NY | N | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
No ID Information.