Individual
MR. MICHAEL BLAIR ALILIONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Mailing address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
716492
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
432657
NY
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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