Eleni Alfaro, M.S.
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Astoria, NY
NPI 1083961650 · NPPES record last updated Nov 12, 2015
Key facts
- NPI
- 1083961650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 1377960 (NY)
- Practice address
- 3711 35TH Ave
Suite 3 C
Astoria, NY 11101-1524 - Phone
- (718) 706-7500
- NPI assigned
- Aug 13, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1377960 | NY | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 1377960 | NY | Yes |
Addresses
Primary practice location
3711 35TH Ave
Suite 3 C
Astoria, NY 11101-1524
Mailing address
24-15 27TH Street
3B
Astoria, NY 11102
Phone (516) 330-8923
NPI Registry JSON
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1083961650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24-15 27TH STREET",
"address_2": "3B",
"city": "ASTORIA",
"state": "NY",
"postal_code": "11102",
"telephone_number": "516-330-8923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3711 35TH AVE",
"address_2": "SUITE 3 C",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111011524",
"telephone_number": "718-706-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFARO",
"first_name": "ELENI",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-13",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "1377960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
- Alexandria Pharmacy Inc
- Alexia T. Koudellou MD, PC
- Anne Enid Laura Alexis
- Elisabeth Alexis
- Cindi F Alfano
- Rene Alfaro
- Debra Jean Alger
- Nahla Ali
- Sadia N Ali
- Sabina Aliyeva
All providers in Astoria, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.