MAURICE ALIDZA NPI 1194147009

NPI Information

Maurice Alidza is a licensed practical nurse in Bronx, NY. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Maurice Alidza NPI is 1194147009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2390 TIEBOUT AVE
6-D
BRONX, NY
ZIP 10458-305
Phone: (347) 659-8837

The enumeration date for this NPI number is 1/11/2014 and was last updated on 1/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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