| Doctor Name: | DR. INMACULADA ANDEME NCOGO ALENE |
| NPI Number: | 1477988251 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | P90473 |
| Business Practice Address: | 374 Stockholm St Brooklyn, NY - 112374006 |
| Business Phone Number: | 7189637272 |
| Business Fax Number: | |
| Mailing Address: | 2949 Kingsland Ave, BRONX |
| State: | NY |
| Postal Code: | 104693319 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/11/2013 |
| NPI Last Update Date: | 09/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | P90473 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |