Individual
MS. ILEANA EILEEN ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5000
Mailing address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5900
(718) 334-5006
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
012069
NY
Other
Enumeration date
09/14/2007
Last updated
01/23/2023
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