Individual
MISS ALISA CALIENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, MSN, BSN, RN
Contact information
Practice address
70 N COUNTRY RD, 201, PORT JEFFERSON, NY 11777-2161
(631) 331-0200
Mailing address
70 N COUNTRY RD, 201, PORT JEFFERSON, NY 11777-2161
(631) 331-0200
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306281
NY
Other
Enumeration date
01/18/2013
Last updated
01/23/2014
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