Provider Demographics
NPI:1871679472
Name:ALONSO, CARMEN MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:MARIA
Last Name:ALONSO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:333 W 56TH ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3734
Mailing Address - Country:US
Mailing Address - Phone:212-956-0601
Mailing Address - Fax:212-247-1232
Practice Address - Street 1:333 W 56TH ST APT 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3734
Practice Address - Country:US
Practice Address - Phone:212-956-0601
Practice Address - Fax:212-247-1232
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2019-11-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1357352084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry