MR. ALFONSO MANUEL AZUCAR


Address: 260 W. Sunrise Hwy, Ste. 200, Valley Stream, NY 11581
Phone: 5168253600

MR. ALFONSO MANUEL AZUCAR (NPI# 1013257864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013257864
Entity Type Individual
Full Name MR. ALFONSO MANUEL AZUCAR
Credential PHYSICIAN ASSISTANT
Practice Address 260 W. Sunrise Hwy, Ste. 200
Valley Stream
NY 11581
Mailing Address 55 Water Street 2nd Floor Cred Dept
New York
NY 10041-0004
Practice Telephone 5168253600
Practice Fax Number 5168725137
Mailing Telephone 6466802888
Mailing Fax Number 5165425556
Enumeration Date 2013-02-14
Last Update Date 2019-09-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 016408 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1715 University Ave, Bronx, NY 10453 7182940700 7189605616
1991 Marcus Ave, 2nd Floor, New Hyde Park, NY 110422057 5163541600 5169414677
29-15 Far Rockaway Blvd, Far Rockaway, NY 116911941 7183377000 7189432686
350 South Broadway, Hicksville, NY 118015006 5169380100 5169380120

Office Location

Street Address 260 W. SUNRISE HWY, STE. 200
City VALLEY STREAM
State NY
Zip Code 11581

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356378442 Jeremy J Schwartz Internal Medicine 260 W. Sunrise Hwy, Ste. 200, Valley Stream, NY 11581-1015 2006-06-26
1174032114 Chinelo E. Nduka Nurse Practitioner 260 W. Sunrise Hwy, Ste. 200, Valley Stream, NY 11581 2017-09-21
1598285298 Janki H Parikh Optometrist 260 W. Sunrise Hwy, Ste. 200, Valley Stream, NY 11581 2017-06-23
1831566561 Sophia Louis Nurse Practitioner 260 W. Sunrise Hwy, Ste. 200, Valley Stream, NY 11581 2015-08-28
1437432192 Naeem Abbas Internal Medicine 260 W. Sunrise Hwy, Ste. 200, Valley Stream, NY 11581-1051 2011-09-20
1710184387 Marina Abeleva Family Medicine 260 W. Sunrise Hwy, Ste. 200, Valley Stream, NY 11581 2007-06-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033773437 Step 2 Smile Physical Therapy PC Physical Therapist 74 Sylvan Place, Valley Stream, NY 11581 2019-05-01
1700369220 Lyubov Nikolayeva Nurse Practitioner 76 Halyard Rd, Valley Stream, NY 11581 2018-09-11
1154846871 Shayena Donaldson-fortune Occupational Therapist 100 Lotus Oval N, Valley Stream, NY 11581 2017-08-03
1255877080 Fulin Wang Acupuncturist 45 Dartmouth St, Valley Stream, NY 11581 2017-01-18
1356796072 Idit Ariel Zim Speech-Language Pathologist 924 Crestview Ave, Valley Stream, NY 11581 2016-05-02
1487086245 Florence Jean Baptiste Behavioral Analyst 790 University Street, North Woodmere, NY 11581 2013-08-05
1760824254 Tatiana Grant Counselor 70 Sunrise Hwy, Suite 500 #579, Valley Stream, NY 11581 2013-07-24
1740625698 Patricia R. Curtis Specialist 96 Roosevelt Ave., Valley Stream, NY 11581 2013-05-06
1669769006 Fredrica Beth Lieberstein Health Educator 792 Longview Avenue, North Woodmere, NY 11581 2011-07-06
1811288186 Bruce Neil Goldman Speech-Language Pathologist 1030 Cedarhurst Street, North Woodmere, NY 11581 2011-04-21
Find all providers in zip 11581

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124599188 Gina Maria Marotto Physician Assistant 189 Cedar St, Valley Stream, NY 11580-4907 2018-12-16
1689177354 Haram Gondal Physician Assistant 15 Blossom Row, Valley Stream, NY 11580-2509 2018-03-08
1417353483 Nicole Purdy Physician Assistant 117 Ann St, Valley Stream, NY 11580-2701 2014-11-18
1134412729 Karen Mermelstein Physician Assistant 714 University St, Valley Stream, NY 11581-3518 2011-05-16
1841595097 Alexander Jason Wicker Physician Assistant 133 E Merrick Rd, Valley Stream, NY 11580-5900 2011-01-20
1174726228 Michelle A. Renzi Physician Assistant 30 S Central Ave Ste 201, Valley Stream, NY 11580-5437 2007-06-07
1376153700 Mei L Lu Physician Assistant 900 Franklin Ave, Valley Stream, NY 11580-2145 2020-07-31
1508484858 Virghinya Ridwan Physician Assistant 900 Franklin Ave, Valley Stream, NY 11580-2145 2020-07-13
1073162913 Nicholas Crozier Physician Assistant 900 Franklin Ave, Valley Stream, NY 11580-2145 2019-09-04
1811543739 Giovanni Pinello Physician Assistant 125 Franklin Ave, Valley Stream, NY 11580-2165 2019-08-15
Find all providers in VALLEY STREAM

Competitor

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City VALLEY STREAM
Zip Code 11581

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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