Individual
MRS. ADELA ALONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 GRAND STREET, 2ND FLOOR, NEW YORK, NY 10002
(212) 420-1999
Mailing address
109-10 QUEENS BLVD, APT 3B, FOREST HILLS, NY 11375
(646) 406-1217
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
500110
NY
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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