Individual provider · Type 1 NPI

Alicia M. Petursson

Student in an Organized Health Care Education/Training Program · East Elmhurst, NY

NPI number 1194042580 Active

Practice location

3017 80th St
East Elmhurst, NY 11370-1501

Call (718) 496-0093 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194042580

Alicia M. Petursson's National Provider Identifier is 1194042580, issued on Apr 26, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in East Elmhurst, NY. The record was last updated on Mar 14, 2026.