Doctor Name: | ELENI ALFARO |
NPI Number: | 1083961650 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 1377960 |
Business Practice Address: | 3711 35th Ave Suite 3 C Astoria, NY - 111011524 |
Business Phone Number: | 7187067500 |
Business Fax Number: | |
Mailing Address: | 24-15 27th Street, 3b ASTORIA |
State: | NY |
Postal Code: | 11102 |
Phone Number: | 5163308923 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2012 |
NPI Last Update Date: | 11/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 1377960 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |