Organization
ALTICARE HEALTHCARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BOATENG-WILSON RN,BA,FNP-BC,DNP (DOCTOR)
(917) 488-7910
Entity
Organization
Contact information
Practice address
3403 ROPES AVE, BRONX, NY 10475-1016
(917) 488-7910
Mailing address
3403 ROPES AVE, BRONX, NY 10475-1016
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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