Individual
ALICE NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
38 FRONT ST STE D, BINGHAMTON, NY 13905-4712
(607) 722-6461
Mailing address
38 FRONT ST STE D, BINGHAMTON, NY 13905-4712
(607) 722-6461
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
258785-1
NY
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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