Provider Demographics
NPI:1679525018
Name:ALCENA, VALIERE (MD)
Entity type:Individual
Prefix:
First Name:VALIERE
Middle Name:
Last Name:ALCENA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 DAVIS AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1003
Mailing Address - Country:US
Mailing Address - Phone:914-682-8020
Mailing Address - Fax:914-682-8066
Practice Address - Street 1:37 DAVIS AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1003
Practice Address - Country:US
Practice Address - Phone:914-682-8020
Practice Address - Fax:914-682-8066
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY119002207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00222293Medicaid
NY119002OtherLICENSE#
NY953601Medicare ID - Type UnspecifiedPROVIDER#
NY00222293Medicaid