Individual
ALTAGRACIA DINORIS SORIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
801 EAST 241ST STREET, BRONX, NY 10470
(718) 671-2100
Mailing address
150 W 225TH ST, APT.# 26K, BRONX, NY 10463-5015
(347) 332-4177
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
249856
NY
Other
Enumeration date
10/30/2008
Last updated
05/10/2016
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