Provider Demographics
NPI:1871785238
Name:SIROTE, ALAN (MSW)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:
Last Name:SIROTE
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8437 124TH ST
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-3306
Mailing Address - Country:US
Mailing Address - Phone:718-846-3635
Mailing Address - Fax:718-805-3732
Practice Address - Street 1:8437 124TH ST
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-3306
Practice Address - Country:US
Practice Address - Phone:718-846-3635
Practice Address - Fax:718-805-3732
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR032401-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02490Medicare PIN