Individual provider · Type 1 NPI
Alie Theresa Massicot-Gray, FNP
Family Nurse Practitioner · Brooklyn, NY
NPI number
1407120918
Active
Practice location
451 Clarkson Ave
Brooklyn, NY 11203-2054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F336532-1 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1407120918
Alie Theresa Massicot-Gray, FNP's National Provider Identifier is 1407120918, issued on Mar 1, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 5, 2012.