Individual
ALISSA FABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
213 W 11TH ST, ELMIRA HEIGHTS, NY 14903-1519
(607) 731-1825
Mailing address
213 W 11TH ST, ELMIRA HEIGHTS, NY 14903-1519
(607) 731-1825
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
278671
NY
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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