Individual
DR. CARLOS ALFONSO VINAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14205 ROOSEVELT AVE, SUITE 135, FLUSHING, NY 11354-6045
(718) 539-1033
(718) 358-4144
Mailing address
14205 ROOSEVELT AVE, SUITE 135, FLUSHING, NY 11354-6045
(718) 539-1033
(718) 358-4144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
116041
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00334670
—
NY
Enumeration date
09/27/2006
Last updated
07/08/2007
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