Individual
CHRISTINA RANAE ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
751 BRIGGS HWY, ELLENVILLE, NY 12428-5501
(845) 647-4509
(845) 647-2302
Mailing address
253 SINSABAUGH RD, PINE BUSH, NY 12566-5428
(845) 744-5685
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
021248
NY
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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