Provider Demographics
NPI:1447629340
Name:DUNNING, ALYSSA (RN)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:DUNNING
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 1:3336 PERRY AVE
Mailing Address - Street 2:APT B2
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-3216
Mailing Address - Country:US
Mailing Address - Phone:347-698-8822
Mailing Address - Fax:
Practice Address - Street 1:3336 PERRY AVE
Practice Address - Street 2:APT B2
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-3216
Practice Address - Country:US
Practice Address - Phone:347-698-8822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY703891163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse