Individual
ALICIA KATHRYN ASTEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 DORADO CT S, MIDDLE ISLAND, NY 11953-1939
(631) 978-1012
Mailing address
331 BROADWAY, PORT JEFFERSON STATION, NY 11776-2541
(631) 978-1012
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
700883131
NY
Other
Enumeration date
04/09/2013
Last updated
08/08/2016
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