Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 298202 | NY |
NPI | 1205281920 |
---|---|
Provider Name | Dr. Alissa Brette Mcinerney |
First Address | Astoria, NY 11106-1434 |
Second Address | Astoria, NY 11106-1434 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2016 |
Last Update Date | 06/01/2022 |