Alie Theresa Massicot-gray FNP

NPI 1407120918 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1407120918
Gender Female
Enumeration Date 03/01/2012
Last Updated 04/05/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
451 CLARKSON AVE
BROOKLYN NY, 11203-2054, US
Phone (718) 245-2000
Fax
Business Location
451 CLARKSON AVE
BROOKLYN NY, 11203-2054, US
Phone
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State New York
License Number F336532-1
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According to our database, Ms. Alie Theresa Massicot-gray FNP NPI is 1407120918, taxonomy code is 363LF0000X and license number is F336532-1, license state is located at New York. Alie Theresa Massicot-gray FNP physically located at 451 Clarkson Ave, Brooklyn NY, 11203-2054. NPI Number Alie Theresa Massicot-gray FNP has the Individual type.

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1407120918 NPI number is provided on an as is basis without warranty of any kind. 1407120918 is maintained by the National Plan & Provider Enumeration System. The contents of Alie Theresa Massicot-gray FNP are for informational purposes only.