Individual
NICOLE MONIQUE ALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIAL ED TEACHER
Contact information
Practice address
44 COURT ST STE 1217, BROOKLYN, NY 11201-4410
(347) 479-1868
Mailing address
1460 PENNSYLVANIA AVE APT 5E, BROOKLYN, NY 11239-2503
(917) 548-0735
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1366296014
NY
252Y00000X
Early Intervention Provider Agency
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Other
Enumeration date
04/17/2024
Last updated
08/17/2024
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