Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 136580-1 | NY |
NPI | 1154401131 |
---|---|
Provider Name | Alfred John Trufelli JR. |
First Address | Great Neck, NY 11021-5315 |
Second Address | Great Neck, NY 11021-5315 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 27/06/2011 |