Individual
MISS CRYSTAL ELIZABETH ALESSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
146 DARE RD, SELDEN, NY 11784-2008
(631) 965-0671
Mailing address
146 DARE RD, SELDEN, NY 11784-2008
(631) 965-0671
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
303562-1
NY
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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