Individual
FABIOLA ALOUIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1745 UNION BLVD, BAY SHORE, NY 11706-7952
(631) 328-5560
Mailing address
1603 BALDWIN BLVD, BAY SHORE, NY 11706-2145
(914) 483-7322
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
722988
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
310374
NY
Other
Enumeration date
06/22/2021
Last updated
08/24/2021
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