Individual
ALICIA THERVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13340 85TH ST, OZONE PARK, NY 11417-1924
(917) 544-0848
Mailing address
13340 85TH ST, OZONE PARK, NY 11417-1924
(917) 544-0848
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
809158
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
809158
—
NY
Enumeration date
12/30/2022
Last updated
12/30/2022
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