1609002179

Everything you always wanted to know about DR. HUMPHREY NICOLE ALYSSA MD but were afraid to ask.

DR. HUMPHREY NICOLE ALYSSA MD

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. HUMPHREY NICOLE ALYSSA MD
Gender:
Female
Enumeration date:
2009-06-10
Last update date:
2017-07-10
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
Search for ALYSSA, HUMPHREY in
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
207P00000X Emergency Medicine NY 253856 Y

Phone Numbers

Type Number
Mailing Address Telephone Number (800) 366-1884
Practice Location Address Telephone Number 7186134444
Mailing Address Fax Number 8669908119
Practice Location Address Fax Number 7186134888

Addresses

Type Address City State Postal Country
Mailing Address 275 E 200 S STE 200 SALT LAKE CITY UT 84111 UT
Practice Location Address 1545 ATLANTIC AVE BROOKLYN NY 11213 NY

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