Individual
KHADIJATU ALLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
754 E 6TH ST # 10010, NEW YORK, NY 10009-6904
(212) 677-7400
Mailing address
201 W 121ST ST APT 4B, NEW YORK, NY 10027-6263
(917) 518-8639
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
562076
NY
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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