Individual
ALYSSA LOUISE NIEVES PACIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10825 63RD AVE, FOREST HILLS, NY 11375-1342
(718) 896-2011
Mailing address
7322 53RD RD APT 3, MASPETH, NY 11378-1500
(347) 656-9078
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
05002601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
775585516
LEARNER PERMIT
NY
Enumeration date
03/06/2023
Last updated
04/04/2023
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