Provider Demographics
NPI:1750459384
Name:ALMONTE, MARIA ISABEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ISABEL
Last Name:ALMONTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10105 LEFFERTS BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SOUTH RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-2019
Mailing Address - Country:US
Mailing Address - Phone:718-441-8086
Mailing Address - Fax:718-441-8087
Practice Address - Street 1:10105 LEFFERTS BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:SOUTH RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419-2019
Practice Address - Country:US
Practice Address - Phone:718-441-8086
Practice Address - Fax:718-441-8087
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213386207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02048346Medicaid
NYH12564Medicare UPIN
NY12V351Medicare ID - Type Unspecified