Provider Demographics
NPI:1619094901
Name:PINEYRO, ALFONSO F (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALFONSO
Middle Name:F
Last Name:PINEYRO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 CANAL STREET
Mailing Address - Street 2:
Mailing Address - City:FORT PLAIN
Mailing Address - State:NY
Mailing Address - Zip Code:13339
Mailing Address - Country:US
Mailing Address - Phone:518-993-3023
Mailing Address - Fax:518-993-3023
Practice Address - Street 1:90 CANAL STREET
Practice Address - Street 2:
Practice Address - City:FORT PLAIN
Practice Address - State:NY
Practice Address - Zip Code:13339
Practice Address - Country:US
Practice Address - Phone:518-993-3023
Practice Address - Fax:518-993-3023
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031743122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist