Individual
MISS ALESHA BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
27111 76TH AVE, NEW HYDE PARK, NY 11040-1436
(718) 289-2100
Mailing address
74 EMERY ST, HEMPSTEAD, NY 11550-7412
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
153302
CT
163WG0000X
General Practice Registered Nurse
26NR20009100
NJ
163WG0000X
General Practice Registered Nurse
Primary
744550
NY
163WG0000X
General Practice Registered Nurse
RN710934
PA
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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