Individual
MR. ALFONSO MANUEL AZUCAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
260 W SUNRISE HWY STE 200, VALLEY STREAM, NY 11581-1015
(516) 825-3600
(516) 823-2051
Mailing address
55 WATER ST FL 2, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016408
NY
Other
Enumeration date
02/14/2013
Last updated
09/30/2025
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