Provider Demographics
NPI:1114592987
Name:FLOYD, ALESIA DOROTHY (FNP)
Entity Type:Individual
Prefix:
First Name:ALESIA
Middle Name:DOROTHY
Last Name:FLOYD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 E NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-3832
Mailing Address - Country:US
Mailing Address - Phone:718-996-8388
Mailing Address - Fax:718-627-1525
Practice Address - Street 1:1220 E NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3832
Practice Address - Country:US
Practice Address - Phone:718-996-8388
Practice Address - Fax:718-627-1525
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-25
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF347492-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily