Individual
MRS. ALICIA SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
122 OUTLOOK AVE, BRONX, NY 10465-1141
(914) 548-4172
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F337443
NY
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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