Provider Demographics
NPI:1962071969
Name:ALPHONSO, CHRISTIBELL
Entity type:Individual
Prefix:
First Name:CHRISTIBELL
Middle Name:
Last Name:ALPHONSO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8815 168TH ST APT 5E
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-4307
Mailing Address - Country:US
Mailing Address - Phone:347-385-1719
Mailing Address - Fax:
Practice Address - Street 1:8815 168TH ST APT 5E
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-4307
Practice Address - Country:US
Practice Address - Phone:347-385-1719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy