Alicia Kathryn Astea
Specialist in Middle Island, NY. Individual provider (NPI-1).
NPI number1295178366
StatusActive
Last updated in NPPESAug 8, 2016
Details
- NPI
- 1295178366
- Entity type
- Individual (NPI-1)
- Name
- Alicia Kathryn Astea
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2013
- Last updated
- Aug 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 700883131 | NY | Yes |
Practice location
124 Dorado Ct SMiddle Island, NY 11953-1939
Phone 631-978-1012
Mailing address
331 BroadwayPort Jefferson Station, NY 11776-2541
Phone 631-978-1012
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