Individual
MISS ALISA NEZIRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3005 42ND STREET, ASTORIA, NY 11103
(718) 775-5455
Mailing address
3005 42ND ST APT 1R, ASTORIA, NY 11103-3029
(718) 775-5455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
689539
NY
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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