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NPI Code Detail

MEDICARE: ALERTTE ALEXIS LPN

MEDICARE: ALERTTE ALEXIS LPN
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
1164W00000XLicensed Practical Nurse318924-1NY

General Provider Information

NPI Number : 1881086338
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALERTTE ALEXIS LPN
Provider Business Mailing Address
First Line : 1526 ALBANY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-2019
Country : US
Telephone Number : 347-791-1357
Fax Number :
Provider Business Practice Location Address
First Line : 1526 ALBANY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-2019
Country : US
Telephone Number : 347-791-1357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2015
Last Update Date : 02/20/2015

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