Provider Demographics
NPI:1518170901
Name:ALFOND AMBULATORY ANESTHESIA, PC
Entity type:Organization
Organization Name:ALFOND AMBULATORY ANESTHESIA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-208-1433
Mailing Address - Street 1:1185 PARK AVE.
Mailing Address - Street 2:#10F
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1311
Mailing Address - Country:US
Mailing Address - Phone:917-208-1433
Mailing Address - Fax:212-744-8478
Practice Address - Street 1:1185 PARK AVE.
Practice Address - Street 2:#10F
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10128-1311
Practice Address - Country:US
Practice Address - Phone:917-208-1433
Practice Address - Fax:212-744-8478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY190759207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty