Individual
DR. ANTONIO E ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 AMITY ST, BROOKLYN, NY 11201-6005
(718) 875-3244
(718) 780-1037
Mailing address
339 HICKS ST, BROOKLYN, NY 11201-5509
(718) 875-3244
(718) 780-1037
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
117277
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00217047
—
NY
01
—
0077128
GHI
NY
01
—
4466282
AETNA
NY
01
—
644021
EMPIRE BC & BS
NY
01
—
KS 359
OXFORD
NY
Enumeration date
06/16/2005
Last updated
07/06/2010
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