Individual
ALLA PRESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4364 RICHMOND AVE, STATEN ISLAND, NY 10312-6535
(917) 658-9568
Mailing address
4364 RICHMOND AVE, STATEN ISLAND, NY 10312-6535
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
477726
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
931021245
GHI
NY
Enumeration date
04/25/2018
Last updated
04/25/2018
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