Individual
JESSICA KATE ALLEGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20 SUMMERCRESS LN, CORAM, NY 11727-2617
(631) 905-6158
Mailing address
PO BOX 479, MOUNT SINAI, NY 11766-0479
(631) 905-6158
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
592976
NY
163WP0200X
Pediatric Registered Nurse
592976
NY
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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