Alfonso, Antonio E

Alfonso, Antonio E is an sole proprietor health care provider with primary practice located at 100 Amity St , Brooklyn NY 11201-6005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Alfonso, Antonio E can be contacted via phone (718) 875-3244.

Contact Information

Primary practice address
100 Amity St Brooklyn NY 11201-6005
Phone: (718) 875-3244
Fax: (718) 780-1037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 117277 New York

Profile Details

NPI number 1598760670
LBN Legal business name Alfonso, Antonio E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Jul 6th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598760670 NPPES
New York Other 4466282 AETNA
New York Other 0077128 AETNA
New York Other 644021 AETNA
New York MEDICAID 00217047 AETNA
New York Other KS 359 AETNA

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