Individual
MRS. ALEXIS MARIE DEIESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
83 NORTH ST, HARRISON, NY 10528-1527
(914) 522-9557
Mailing address
24 PIKE PL, MAHOPAC, NY 10541-1932
(914) 582-1584
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
618088
NY
Other
Enumeration date
07/01/2011
Last updated
08/14/2024
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