Individual
ALLISON BRISTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 PATRICIA LN, 402, BRONX, NY 10465-4200
(917) 415-0644
Mailing address
58 PATRICIA LN, 402, BRONX, NY 10465-4200
(917) 415-0644
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
301256-1
NY
Other
Enumeration date
01/11/2014
Last updated
01/11/2014
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