Individual
ALYSHA KOORJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(646) 317-6626
(212) 305-6891
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(646) 317-6626
(212) 305-6861
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430792-1
NY
Other
Enumeration date
03/13/2013
Last updated
09/25/2019
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