Individual
MS. MARIA DEL CONSUELO ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
120 MINEOLA BLVD, STE 210, MINEOLA, NY 11501-4073
(516) 663-3067
(516) 663-3070
Mailing address
120 MINEOLA BLVD, STE 210, MINEOLA, NY 11501-4073
(516) 663-3067
(516) 663-3070
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001374
NY
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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