Individual
DR. ALFONSO F.J. PRIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 PALISADES DR, ALBANY, NY 12205-1438
(518) 458-2000
(518) 458-1524
Mailing address
2 PALISADES DR, ALBANY, NY 12205-1438
(518) 458-2000
(518) 458-1524
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
208187
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
208187
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02104209
—
NY
05
—
1017519
—
VT
Enumeration date
07/14/2005
Last updated
08/29/2012
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