Alexis Aslanian, LPN

Individual provider Active NPI Licensed Practical Nurse · Potsdam, NY

NPI 1104178920 · NPPES record last updated Oct 3, 2012

Key facts

NPI
1104178920
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
311845-1 (NY)
Practice address
56 Market St
Potsdam, NY 13676-1747
Phone
(315) 265-4065
Fax
(315) 265-0012
NPI assigned
Oct 3, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
311845-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services of Northern New York Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 311845-1 NY Yes

Addresses

Primary practice location

56 Market St
Potsdam, NY 13676-1747

Mailing address

56 Market St
Potsdam, NY 13676-1747
Phone (315) 265-4065

Other providers in Potsdam, NY

All providers in Potsdam, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.