Individual
ALLISA IVORRY BUCKMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
371 E 96TH ST APT 1R, BROOKLYN, NY 11212-2625
(347) 213-6104
Mailing address
371 E 96TH ST APT 1R, BROOKLYN, NY 11212-2625
(347) 213-6104
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
346725
NY
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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