Individual
ALKETA DECI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(347) 880-1052
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(347) 880-1052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F341115
NY
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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