Individual
ALYSSA MICHELLE EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71 CHAPEL HILL DR, BRENTWOOD, NY 11717-1902
(631) 579-7655
Mailing address
71 CHAPEL HILL DR, BRENTWOOD, NY 11717-1902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
735116
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOWN
UNKNOWN
—
Enumeration date
05/15/2018
Last updated
05/15/2018
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