Individual
ALYSSIA GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
13323 227TH ST, LAURELTON, NY 11413-1740
(718) 810-2346
Mailing address
13323 227TH ST, LAURELTON, NY 11413-1740
(718) 810-2346
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
796482-01
NY
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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