Provider Demographics
NPI:1205136249
Name:PORTEUS, ALISON SEIFERT (LPN)
Entity type:Individual
Prefix:MISS
First Name:ALISON
Middle Name:SEIFERT
Last Name:PORTEUS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2994 NAVAJO ST
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-1807
Mailing Address - Country:US
Mailing Address - Phone:845-264-3732
Mailing Address - Fax:
Practice Address - Street 1:2994 NAVAJO ST
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-1807
Practice Address - Country:US
Practice Address - Phone:845-264-3732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY302821-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse