Individual
ALISHA TIFFANY HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 LAKESIDE DR, CENTERPORT, NY 11721-1513
(631) 245-9581
Mailing address
19 LAKESIDE DR, CENTERPORT, NY 11721-1513
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
799739-01
NY
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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