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Individual

ALISHA WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4126 ELY AVE, BRONX, NY 10466-2034
(718) 882-4707
Mailing address
4126 ELY AVE, BRONX, NY 10466-2034
(917) 244-8691

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
707914
NY
164W00000X
Licensed Practical Nurse
Primary
260487-1
NY

Other

Enumeration date
10/02/2009
Last updated
10/16/2023
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