Healthcare Provider Details

I. General information

NPI: 1699984807
Provider Name (Legal Business Name): CELESTE ALLEYNE R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 ELMWOOD AVE
BROOKLYN NY
11230-2606
US

IV. Provider business mailing address

423 SENATOR ST
BROOKLYN NY
11220-5413
US

V. Phone/Fax

Practice location:
  • Phone: 171-885-9542
  • Fax:
Mailing address:
  • Phone: 171-885-9542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number257924-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: