Individual
ALICIA M PETURSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3017 80TH ST, EAST ELMHURST, NY 11370-1501
(718) 496-0093
Mailing address
3017 80TH ST, EAST ELMHURST, NY 11370-1501
(718) 496-0093
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Enumeration date
04/26/2010
Last updated
03/14/2026
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