Provider Demographics
NPI:1053316984
Name:ALPERT, HAROLD M (MD)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:M
Last Name:ALPERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HAL
Other - Middle Name:M
Other - Last Name:ALPERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1623 3RD AVE APT 37K
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3032
Mailing Address - Country:US
Mailing Address - Phone:646-649-5006
Mailing Address - Fax:212-289-5222
Practice Address - Street 1:1623 3RD AVE APT 37K
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3032
Practice Address - Country:US
Practice Address - Phone:646-649-5006
Practice Address - Fax:212-289-5222
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA021372173F00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No173F00000XOther Service ProvidersSleep Specialist, PhD
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000198558HMedicaid
GAD44706Medicare UPIN
GA29BDCLPMedicare ID - Type Unspecified