Individual
ALITA SHAIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8 SPARROW WAY APT H, QUEENSBURY, NY 12804-8734
(518) 260-0780
Mailing address
8 SPARROW WAY APT H, QUEENSBURY, NY 12804-8734
(518) 260-0780
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320025-1
NY
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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