Individual provider · NPI-1

Maria Del Consuelo Alonso, pa

Physician Assistant, Medical · Mineola, NY

NPI number1124207659
StatusActive
Last updated in NPPESNov 1, 2007

Details

NPI
1124207659
Entity type
Individual (NPI-1)
Name
Ms. Maria Del Consuelo Alonso
Credential
pa
Sex
Female
Sole proprietor
No
Enumeration date
Nov 1, 2007
Last updated
Nov 1, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical001374NYYes

Practice location

120 Mineola Blvd
Ste 210
Mineola, NY 11501-4073

Phone 516-663-3067 · Fax 516-663-3070

Mailing address

120 Mineola Blvd
Ste 210
Mineola, NY 11501-4073

Phone 516-663-3067 · Fax 516-663-3070

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