Individual
ALICIA NATALIE SANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
110 W 97TH ST, NEW YORK, NY 10025-6450
(212) 316-8314
Mailing address
1253 E 40TH ST, BSMT, BROOKLYN, NY 11210-4958
(347) 262-4692
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
287309
NY
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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