MS. ALIE THERESA MASSICOT-GRAY FNP NPI 1407120918

NPI Information

NPI: 1407120918
Provider Name: MS. ALIE THERESA MASSICOT-GRAY, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
451 CLARKSON AVE
BROOKLYN, NY
ZIP 11203
Phone: (718) 245-2000
Get Directions

MS. Alie Theresa Massicot-gray, FNP is a family nurse practitioner in Brooklyn, NY. MS. Alie Theresa Massicot-gray, FNP NPI is 1407120918. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

451 CLARKSON AVE
BROOKLYN, NY
ZIP 11203-054
Phone: (718) 245-2000

The enumeration date for this NPI number is 3/1/2012 and was last updated on 4/5/2012.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	F336532-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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