Basic Information
| Provider Information | |||||||||
| NPI: | 1548367196 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | REYNALDO H. ALONSO, M.D.P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 345 W END AVE | ||||||||
| Address2: | #4A | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100246825 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 2426 EASTCHESTER RD | ||||||||
| Address2: | 2ND FLOOR SUITE 204 | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104695916 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182317872 | ||||||||
| FaxNumber: | 7182317469 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/17/2006 | ||||||||
| LastUpdateDate: | 04/09/2008 | ||||||||
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| AuthorizedOfficialLastName: | ALONSO | ||||||||
| AuthorizedOfficialFirstName: | REYNALDO | ||||||||
| AuthorizedOfficialMiddleName: | H | ||||||||
| AuthorizedOfficialTitleorPosition: | P.C. | ||||||||
| AuthorizedOfficialTelephone: | 7182317872 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 191962-1 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.