Individual
ALEXIS BONEPARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-9304
Mailing address
3959 BROADWAY # 7C, NEW YORK, NY 10032-1559
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
247973
NY
2080P0216X
Pediatric Rheumatology Physician
Primary
247973
NY
2080P0216X
Pediatric Rheumatology Physician
25MA09256300
NJ
Other
Enumeration date
04/14/2008
Last updated
10/18/2024
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