Individual
ANGELENA ALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 WEBER DR APT 3C, PORT CHESTER, NY 10573-5233
(914) 305-5463
Mailing address
3 WEBER DRIVE 3C, PORT CHESTER, NY 10573
(914) 305-5463
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
294488
NY
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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