Individual
MRS. ALISSA ROSE LOBIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
633 OLD COUNTRY ROAD, RIVERHEAD, NY 11901
(631) 872-9849
Mailing address
633 OLD COUNTRY ROAD, RIVERHEAD, NY 11901
(631) 872-9849
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
786930
NY
164W00000X
Licensed Practical Nurse
786930
NY
Other
Enumeration date
06/11/2018
Last updated
06/20/2024
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