Steven Alper, P.A.-C

Individual provider Active NPI Surgical Physician Assistant · Mineola, NY

NPI 1508086224 · NPPES record last updated Jan 27, 2010

Key facts

NPI
1508086224
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Physician Assistant 363AS0400X
License
000783-1 (NY)
Practice address
259 1St St
Winthrop University Hospital GP4
Mineola, NY 11501-3957
Phone
(516) 663-2384
Fax
(516) 663-8288
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
000783NYMDMarriage & Family Therapist
000783-1NYMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 000783-1 NY Yes

Addresses

Primary practice location

259 1St St
Winthrop University Hospital GP4
Mineola, NY 11501-3957

Mailing address

259 1St St
Winthrop University Hospital GP4
Mineola, NY 11501-3957
Phone (516) 663-2384

Other providers in Mineola, NY

All providers in Mineola, NY · Surgical Physician Assistant in New York

Sources for this page

Verify at the official NPI Registry.