ALIE THERESA MASSICOT-GRAY

BROOKLYN, NY
NPI1407120918
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F336532-1)
Enumeration Date2012-03-01
Last Update Date2012-04-05
Business Address
Ms. ALIE THERESA MASSICOT-GRAY fnp
451 CLARKSON AVE
BROOKLYN, NY 11203-2054
Phone number: 718-245-2000
Mailing Address
Ms. ALIE THERESA MASSICOT-GRAY fnp
451 CLARKSON AVE
BROOKLYN, NY 11203-2054
Phone number: