Organization
ALLA SELDINA FAMILY HEALTH NP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYUDMILA ROZENBERG (CREDENTIALING SPECIALIST)
(718) 667-0297
Entity
Organization
Contact information
Practice address
2305 HYLAN BLVD, STATEN ISLAND, NY 10306-3231
(718) 667-0297
(718) 667-1945
Mailing address
2305 HYLAN BLVD, STATEN ISLAND, NY 10306-3231
(718) 667-0297
(718) 667-1945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05184818
—
NY
Enumeration date
12/08/2020
Last updated
12/08/2020
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