Individual
ALYSSA LJUNGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
110 E 59TH ST STE 8, NEW YORK, NY 10022-1304
(212) 434-4972
Mailing address
204 MESEROLE ST APT 5, BROOKLYN, NY 11206-7804
(405) 408-0522
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308095
NY
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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