Provider Demographics
NPI:1427795293
Name:ALINA SARKISYAN NURSE PRACTITIONER IN ADULT HEALTH PLLC
Entity type:Organization
Organization Name:ALINA SARKISYAN NURSE PRACTITIONER IN ADULT HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARKISYAN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:646-474-0580
Mailing Address - Street 1:126 BEACH 92ND ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11693-1699
Mailing Address - Country:US
Mailing Address - Phone:646-474-0580
Mailing Address - Fax:
Practice Address - Street 1:1629 SHEEPSHEAD BAY RD FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3804
Practice Address - Country:US
Practice Address - Phone:718-395-8994
Practice Address - Fax:718-306-9439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-13
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty