Provider Demographics
NPI:1396748216
Name:ALONGI, PAUL R (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:R
Last Name:ALONGI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:206 EAST JERICHO TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11747
Mailing Address - Country:US
Mailing Address - Phone:631-847-0200
Mailing Address - Fax:631-847-3525
Practice Address - Street 1:206 EAST JERICHO TURNPIKE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11747
Practice Address - Country:US
Practice Address - Phone:631-847-0200
Practice Address - Fax:631-847-3525
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY216960-1207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
108005200OtherDEPT OF LABOR
NYP2058594OtherOXFORD
NY2348419OtherAETNA
NYN96174OtherHEALTHNET
NY107370OtherVYTRA
NY13Q471OtherBLUE CROSS BLUE SHIELD
NY200038803OtherRAIL ROAD MEDICARE
NY2348419OtherAETNA