Organization Name: | ALIOELA INC. |
NPI Number: | 1235487786 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IOHANA ALEXANDRA ASMARANDEI (DENTIST) |
Mailing Address: | 8327 Talbot St Ap. 1 Kew Gardens |
State: | NY US |
Postal Code: | 114153550 |
Phone Number: | 7188052093 |
Fax Number: | 7188052093 |
NPI Enumeration Date: | 08/15/2012 |
NPI Last Update Date: | 05/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 050842-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |