Provider Demographics
NPI:1285404848
Name:ALEJANDRO-BOITEL, PRISCILLA CARMEL (RN)
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:CARMEL
Last Name:ALEJANDRO-BOITEL
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 1:3901 INDEPENDENCE AVE APT 5T
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1229
Mailing Address - Country:US
Mailing Address - Phone:917-207-2818
Mailing Address - Fax:
Practice Address - Street 1:3901 INDEPENDENCE AVE APT 5T
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-1229
Practice Address - Country:US
Practice Address - Phone:917-207-2818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY552438163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse