Alonso, Miguel Angel
Alonso, Miguel Angel is an individual health care provider with primary practice located at 4250 Broadway , New York NY 10033-3750. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Alonso, Miguel Angel can be contacted via phone (212) 795-0765.Contact Information
Primary practice address
4250 Broadway
New York NY 10033-3750
Phone: (212) 795-0765
Fax: (212) 795-3600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 03446 | New York |
Profile Details
| NPI number | 1730116138 |
|---|---|
| LBN Legal business name | Alonso, Miguel Angel |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 8th, 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 | 1730116138 | NPPES |
| New York | MEDICAID | 01704838 |
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