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NPI Code Detail

MEDICARE: MRS. ALICIA CAMILLE POWELL

MEDICARE: MRS. ALICIA CAMILLE POWELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1538004502
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALICIA CAMILLE POWELL
Provider Business Mailing Address
First Line : 950 S OYSTER BAY RD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3511
Country : US
Telephone Number : 516-822-6111
Fax Number :
Provider Business Practice Location Address
First Line : 950 S OYSTER BAY RD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3510
Country : US
Telephone Number : 516-822-6111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2026
Last Update Date : 04/24/2026

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Directions to “ MRS. ALICIA CAMILLE POWELL ” Practice Location

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