Individual
FUNMI O ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17232 128TH AVE, JAMAICA, NY 11434-3324
(917) 783-8524
Mailing address
17232 128TH AVE, JAMAICA, NY 11434-3324
(917) 783-8524
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F310054-01
NY
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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