Individual
ALTHEA ALFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4277 BRONX BOULEVARD, ROOM 202, BRONX, NY 10466-1610
(718) 519-7672
Mailing address
4277 BRONX BOULEVARD, BRONX, NY 10466-0704
(718) 519-7672
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
270100-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02908345
—
NY
Enumeration date
11/27/2007
Last updated
08/09/2012
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