Individual
ALICIA IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
432 E 3RD ST FL 1, MOUNT VERNON, NY 10553-5100
(646) 633-6147
Mailing address
432 E 3RD ST FL 1, MOUNT VERNON, NY 10553-5100
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
798462-01
NY
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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