Basic Information
Provider Information
NPI: 1659447597
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALPANO
FirstName: MARIA
MiddleName: T
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 PENN PLAZA
Address2: 8TH FLOOR
City: NEW YORK
State: NY
PostalCode: 10119
CountryCode: US
TelephoneNumber: 2122166558
FaxNumber: 2122166606
Practice Location
Address1: 1 PENN PLAZA
Address2: 8TH FLOOR
City: NEW YORK
State: NY
PostalCode: 10119
CountryCode: US
TelephoneNumber: 2122166558
FaxNumber: 2122166606
Other Information
ProviderEnumerationDate: 11/24/2006
LastUpdateDate: 08/12/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LG0600X340426-1NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology

No ID Information.


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