Individual
ALEJANDRO TOBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.N.
Contact information
Practice address
34 BEACH ST, STATEN ISLAND, NY 10304-2702
(718) 815-8089
Mailing address
375 MOUNTAINVIEW AVE, STATEN ISLAND, NY 10314-5344
(347) 339-3035
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319416-1
NY
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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