Individual
ALEXANDER CONANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-3061
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4417
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
323909
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2020
Last updated
01/23/2024
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