Christina Ranae Alfonso, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

021248 Issued in NY

Practice address

751 Briggs Hwy
Ellenville, NY 12428-5501

Phone

(845) 647-4509

Fax

(845) 647-2302

NPI assigned

Jul 5, 2007

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093913618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 SINSABAUGH RD",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125665428",
            "telephone_number": "845-744-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 BRIGGS HWY",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124285501",
            "telephone_number": "845-647-4509",
            "fax_number": "845-647-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "CHRISTINA",
        "middle_name": "RANAE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "021248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trissa Jayne Adams, PMHNP
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• Tashana Aldeus
• Aissa Ali, MD
• Arthur Lukoff DPM PC
• Lorri Backer-Logan, SLP
• William Bakey, PA
• Amy Baracks, MSW

• All providers in Ellenville, NY
• Dental Hygienist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.