Provider Demographics
NPI:1689738577
Name:ALFOND, STEVEN MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:MICHAEL
Last Name:ALFOND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 E 65TH ST
Mailing Address - Street 2:APT. 3H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-6862
Mailing Address - Country:US
Mailing Address - Phone:917-208-1433
Mailing Address - Fax:212-744-8981
Practice Address - Street 1:315 E 65TH ST
Practice Address - Street 2:APT. 3H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-6862
Practice Address - Country:US
Practice Address - Phone:917-208-1433
Practice Address - Fax:212-744-8981
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY190759207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3Q8151Medicare ID - Type UnspecifiedEMPIRE
NYF44620Medicare UPIN
NY04793Medicare ID - Type UnspecifiedGHI