ALFONSO DAVID MORENO

BRONX, NY
NPI1083097240
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: OH  35.134194)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-07-07
Last Update Date2019-04-25
Business Address
ALFONSO DAVID MORENO M.D
4422 3RD AVE
BRONX, NY 10457-2545
Phone number: 718-960-9000
Mailing Address
ALFONSO DAVID MORENO M.D
2160 MATTHEWS AVE APT 4M
BRONX, NY 10462-2006
Phone number: 773-349-5197