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Contact Information

ELIZABETH ALICEA, RN
28 FAIRDALE DR
BRENTWOOD, NY11717-1338
 Phone: 631-745-9951
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health

163WC1500X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for ELIZABETH ALICEA · (Female)

NPI # 1487797023
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/14/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 486009-1
  • NY Medicaid 02128123
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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