Doctor Name: | MS. ALICIA LOTTIE KRIVIT |
NPI Number: | 1205056553 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | F331538 |
Business Practice Address: | 9741 Rte 97 Callicoon, NY - 12723 |
Business Phone Number: | 8458876112 |
Business Fax Number: | |
Mailing Address: | 16 Maple St., ROSCOE |
State: | NY |
Postal Code: | 127760256 |
Phone Number: | 6074984636 |
Fax Number: | |
NPI Enumeration Date: | 04/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | F331538 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |