Individual
ALEA GAFFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2941 LACONIA AVE, BRONX, NY 10469-1418
(917) 972-6458
Mailing address
2941 LACONIA AVE, BRONX, NY 10469-1418
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
745896
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F310353-01
NY
Other
Enumeration date
07/23/2018
Last updated
08/19/2022
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