Individual
MRS. ALLA NUSONOVNA ADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER/N
Contact information
Practice address
76WINCHESTER AVE, STATEN ISLAND, NY 10312
(718) 605-2767
Mailing address
76WINCHESTER AVE, STATEN ISLAND, NY 10312
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F308820-1
NY
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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