Individual
ALISHA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
389 HUNNEWELL AVE, ELMONT, NY 11003-3437
(347) 593-2947
Mailing address
389 HUNNEWELL AVE, ELMONT, NY 11003-3437
(347) 593-2947
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
296263
NY
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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