Kari Andrea Alicea

Individual provider Active NPI Registered Nurse · East Patchogue, NY

NPI 1447914973 · NPPES record last updated Oct 30, 2021

Key facts

NPI
1447914973
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
812702 (NY)
Practice address
133 La Bonne Vie Dr W Apt F
East Patchogue, NY 11772-4561
Phone
(631) 504-8471
NPI assigned
Oct 30, 2021
Sex
Female
Sole proprietor
Yes

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
812702NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 812702 NY Yes

Addresses

Primary practice location

133 La Bonne Vie Dr W Apt F
East Patchogue, NY 11772-4561

Mailing address

133 La Bonne Vie Dr W Apt F
East Patchogue, NY 11772-4561
Phone (631) 504-8471

Other providers in East Patchogue, NY

All providers in East Patchogue, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.