Individual
DR. ALEXANDER V. BALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6317 ROOSEVELT AVE, WOODSIDE, NY 11377-3641
(347) 825-8288
Mailing address
PO BOX 778249, WOODSIDE, NY 11377-8249
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
271367
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02061425
—
NY
Enumeration date
08/03/2006
Last updated
01/10/2023
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