Provider Demographics
NPI:1609211275
Name:ALCONIS, KRYSBELLE (RN)
Entity Type:Individual
Prefix:
First Name:KRYSBELLE
Middle Name:
Last Name:ALCONIS
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 1:206 WILSON ST
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-4921
Mailing Address - Country:US
Mailing Address - Phone:201-693-8280
Mailing Address - Fax:
Practice Address - Street 1:206 WILSON STREET
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663
Practice Address - Country:US
Practice Address - Phone:201-693-8280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY660736-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse