Alfonso, Carlos
Alfonso, Carlos is an sole proprietor health care provider with primary practice located at 100 Post Ave # 102 , New York NY 10034-3406. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Alfonso, Carlos can be contacted via phone (646) 796-2727.Contact Information
Primary practice address
100 Post Ave # 102
New York NY 10034-3406
Phone: (646) 796-2727
Fax: (646) 796-7777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 0450071 | New York |
Profile Details
| NPI number | 1528111580 |
|---|---|
| LBN Legal business name | Alfonso, Carlos |
| Credentials | DDS,MS, DIPLOMATE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528111580 | NPPES |
| New York | MEDICAID | 01680482 |
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