Alicea, Elizabeth

Alicea, Elizabeth is an sole proprietor health care provider with primary practice located at 28 Fairdale Dr , Brentwood NY 11717-1338. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Community Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Alicea, Elizabeth can be contacted via phone (631) 745-9951.

Contact Information

Primary practice address
28 Fairdale Dr Brentwood NY 11717-1338
Phone: (631) 745-9951
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 486009-1 New York
Nursing Service Providers / Community Health 163WC1500X 486009-1 New York

Profile Details

NPI number 1487797023
LBN Legal business name Alicea, Elizabeth
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487797023 NPPES
New York MEDICAID 02128123

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