Provider Demographics
NPI:1629234349
Name:NASSIFF, ALONZO ALI (CNIM)
Entity Type:Individual
Prefix:MR
First Name:ALONZO
Middle Name:ALI
Last Name:NASSIFF
Suffix:
Gender:M
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3621 GULL AVENUE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4788
Mailing Address - Country:US
Mailing Address - Phone:956-739-5670
Mailing Address - Fax:956-698-6117
Practice Address - Street 1:3621 GULL AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4788
Practice Address - Country:US
Practice Address - Phone:956-739-5670
Practice Address - Fax:956-698-6117
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
492246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic