Individual
DR. CARLOS ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS, DIPLOMATE
Contact information
Practice address
100 POST AVE # 102, NEW YORK, NY 10034-3406
(646) 796-2727
(646) 796-7777
Mailing address
100 POST AVE # 102, NEW YORK, NY 10034-3406
(646) 796-2727
(646) 796-7777
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
0450071
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01680482
—
NY
Enumeration date
01/20/2007
Last updated
07/09/2007
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