NPI 1578649059 · live from the CMS NPI Registry
Juan Andres Alba, M.D.,
Family Medicine in New York, NY. National Provider Identifier 1578649059, active.
NPI record
| NPI | 1578649059 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 29 Wadsworth Ave, Suite 1b, New York, NY 10033 |
| Practice phone | 212-928-1366 |
| Mailing address | 332 Sylvan Ave, Leonia, NJ 07605 |
| Enumerated | October 27, 2006 |
| Last updated | February 22, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 204149 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.