Individual provider · Type 1 NPI
Jillian Alfonso, MD
Student in an Organized Health Care Education/Training Program · Bronx, NY
NPI number
1629224159
Active
Practice location
3400 Bainbridge Ave
Bronx, NY 10467-2404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1629224159
Jillian Alfonso, MD's National Provider Identifier is 1629224159, issued on Aug 15, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Dec 13, 2011.