Provider Demographics
NPI:1164826988
Name:ADELSTEIN, ALTE (RN)
Entity Type:Individual
Prefix:
First Name:ALTE
Middle Name:
Last Name:ADELSTEIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 CENTRAL AVE
Mailing Address - Street 2:APT D3
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1542
Mailing Address - Country:US
Mailing Address - Phone:646-206-0276
Mailing Address - Fax:
Practice Address - Street 1:220 CENTRAL AVE
Practice Address - Street 2:APT D3
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-1542
Practice Address - Country:US
Practice Address - Phone:646-206-0276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-22
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY650745163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse