Individual
ALICIA JASMINE FERDINAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
330 NY-304, BARDONIA, NY 10954
(866) 389-2727
Mailing address
130 LENOX AVE, NEW YORK, NY 10026-2503
(774) 289-4231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F347287-01
NY
363LF0000X
Family Nurse Practitioner
Primary
F347287-01
NY
Other
Enumeration date
02/19/2021
Last updated
10/10/2025
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