Individual
ANA ALYSSA IRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 MADISON ST, APT 1, HOBOKEN, NJ 07030-1768
(973) 902-8249
Mailing address
420 MADISON ST, APT 1, HOBOKEN, NJ 07030-1768
(973) 902-8249
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382656
NY
Other
Enumeration date
12/04/2016
Last updated
12/04/2016
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