Individual
DR. ANTONIO E ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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