Individual
ALTHEA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
451 FULTON AVE, APT 216, HEMPSTEAD, NY 11550-4102
(516) 424-8615
Mailing address
451 FULTON AVE, APT 216, HEMPSTEAD, NY 11550-4102
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
584479
NY
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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