Provider Demographics
NPI:1780727479
Name:ALFARONE, PASQUALE JOSEPH III (DC)
Entity type:Individual
Prefix:DR
First Name:PASQUALE
Middle Name:JOSEPH
Last Name:ALFARONE
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:PAT
Other - Middle Name:JOSEPH
Other - Last Name:ALFARONE
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:12 POND HILL AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-1228
Mailing Address - Country:US
Mailing Address - Phone:845-325-6162
Mailing Address - Fax:845-986-4476
Practice Address - Street 1:12 POND HILL AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-1228
Practice Address - Country:US
Practice Address - Phone:845-325-6162
Practice Address - Fax:845-986-4476
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007673-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX64991Medicare ID - Type Unspecified