Provider Demographics
NPI:1205640273
Name:ALFORQUE, LUCHA
Entity type:Individual
Prefix:
First Name:LUCHA
Middle Name:
Last Name:ALFORQUE
Suffix:
Gender:U
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4810 45TH ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-7010
Mailing Address - Country:US
Mailing Address - Phone:917-519-8128
Mailing Address - Fax:
Practice Address - Street 1:4810 45TH ST APT 1B
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-7010
Practice Address - Country:US
Practice Address - Phone:917-519-8128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-01
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula