Individual
ALSACIA L. SEPULVEDA - PACSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2869 GRAND CONCOURSE, SUITE #1, BRONX, NY 10468-1966
(718) 676-4177
Mailing address
2869 GRAND CONCOURSE, SUITE #1, BRONX, NY 10468-1966
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
353126-1
NY
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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