Individual
ALFONSO CAMILO DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
Mailing address
3529 87TH ST, JACKSON HEIGHTS, NY 11372-5631
(347) 407-1101
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
022479
NY
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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