Tumika Leatrice Alston, NP
Nurse Practitioner, Psych/Mental Health in Staten Island, NY. Individual provider (NPI-1).
NPI number1609430263
StatusActive
Last updated in NPPESSep 10, 2020
Details
- NPI
- 1609430263
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tumika Leatrice Alston
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 29, 2019
- Certification date
- Sep 10, 2020
- Last updated
- Sep 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 402595 | NY | Yes |
Practice location
375 Seguine AveStaten Island, NY 10309-3932
Phone 718-226-2641
Mailing address
375 Seguine AveStaten Island, NY 10309-3932
Phone 718-226-2641
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