Aliza Dianne Chiquitucto, Registered Nurse
Registered Nurse in Lindenhurst, NY. Individual provider (NPI-1).
NPI number1376835611
StatusActive
Last updated in NPPESMay 1, 2018
Details
- NPI
- 1376835611
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Aliza Dianne Chiquitucto
- Credential
- Registered Nurse
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 4, 2011
- Last updated
- May 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 636154 | NY | Yes |
Practice location
310 Forsythe AveLindenhurst, NY 11757-2204
Phone 516-554-1209
Mailing address
73 Hagerman AveMedford, NY 11763-2131
Phone 516-554-1209
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All 38 Registered Nurse providers in Lindenhurst · All 801 providers in Lindenhurst
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