Individual
MISS LACRECIA ANN ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R-PA-C
Contact information
Practice address
5645 MAIN ST, 4 SOUTH, FLUSHING, NY 11355-5045
(718) 670-1155
(718) 661-7281
Mailing address
5645 MAIN ST, ORTHOPAEDIC 4 SOUTH, FLUSHING, NY 11355-5045
(718) 670-1155
(718) 661-7281
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
009353
NY
Other
Enumeration date
10/17/2008
Last updated
03/30/2010
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