Most Relevant Information
Provider Data
NPI Number: | 1003255068 |
Provider Name: | TELITHA LISS ABRAHAM R.N. |
Entity Type: | Individual |
Taxonomy Code: | 163W00000X |
Specialty: | Registered Nurse |
License Number: | 660952-1 |
Most Important Dates
Enumeration Date: | 06/22/2013 |
Last Updated: | 06/22/2013 |
Provider Practice Location
16 BILLINGSLEY TRL
GOLDENS BRIDGE
NY
105261411
Practice Location Phone/Fax
Phone: | 9142323920 |
Fax: | 9142323920 |
Provider Mailing Location
16 BILLINGSLEY TRL
GOLDENS BRIDGE
NY
105261411
Provider Mailing Phone/Fax
Phone: | 9142323920 |
Fax: | 9142323920 |