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Contact Information

AMANDA ALFONSO, PT, DPT, ATC
42-77 65TH PLACE
WOODSIDE, NY11377
 Phone:
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for AMANDA ALFONSO · (Female)

NPI Number 1104466465
Status Active
Credentials PT, DPT, ATC
Entity Individual
Enumeration date 01/14/2020
Last updated 01/14/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 045282
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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