Most Relevant Information
Provider Data
| NPI Number: | 1003048349 |
| Provider Name: | ELIZABETH BEAUTY ADISA |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 276385 |
Most Important Dates
| Enumeration Date: | 08/20/2009 |
| Last Updated: | 08/20/2009 |
Provider Practice Location
609 HEMPSTEAD BLVD
UNIONDALE
NY
115532225
Practice Location Phone/Fax
| Phone: | 5165703471 |
| Fax: | 5165703471 |
Provider Mailing Location
609 HEMPSTEAD BLVD
UNIONDALE
NY
115532225
Provider Mailing Phone/Fax
| Phone: | 5165703471 |
| Fax: | 5165703471 |