Individual
ALTAGRACIA LILLIANA ENCARNACION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
154 BROOME ST APT 14G, NEW YORK, NY 10002-4023
(347) 544-4661
Mailing address
154 BROOME ST APT 14G, NEW YORK, NY 10002-4023
(347) 544-4661
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
350366
NY
Other
Enumeration date
06/07/2025
Last updated
06/07/2025
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