Doctor Name: | ALICIA M. EARLEY |
NPI Number: | 1053626648 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | PENDING |
Business Practice Address: | 100 Broad St Glens Falls, NY - 128014349 |
Business Phone Number: | 5187922223 |
Business Fax Number: | 5187928231 |
Mailing Address: | 9 Carey Rd, QUEENSBURY |
State: | NY |
Postal Code: | 128047880 |
Phone Number: | 5187610300 |
Fax Number: | 5184800108 |
NPI Enumeration Date: | 08/09/2010 |
NPI Last Update Date: | 08/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | PENDING |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |