MISS Alissa Iervese
NPI #1063899292 in Wading River, New York
Provider Information
- NPI Number
- 1063899292
- Entity Type
- Individual
- Name
- MISS Alissa Iervese
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Apr 27, 2015
- Last Updated
- Apr 27, 2015
Practice Location
- Address
- 9 HIDDEN PHEASANT PATH
- City
- Wading River
- State
- New York
- ZIP Code
- 11792-2163
- Phone
- (631) 316-9062
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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