Most Relevant Information
Provider Data
| NPI Number: | 1003257064 |
| Provider Name: | IVY ALERTA SACAY M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/07/2013 |
| Last Updated: | 07/13/2013 |
Provider Practice Location
3 SAYBROOK ST
STATEN ISLAND
NY
103146505
Practice Location Phone/Fax
| Phone: | 3474650899 |
| Fax: |
Provider Mailing Location
3 SAYBROOK ST
STATEN ISLAND
NY
103146505
Provider Mailing Phone/Fax
| Phone: | 3474650899 |
| Fax: |