Individual
ALISSA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
167 N ERIE AVE, LINDENHURST, NY 11757-4148
(347) 219-7228
Mailing address
167 N ERIE AVE, LINDENHURST, NY 11757-4148
(347) 219-7228
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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