National Provider Identifier

Alie Junior Marah, LPN

Alie Junior Marah, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in West Henrietta, NY and a listed phone number of (585) 530-7200.

NPI 1871260950West Henrietta, NYLicensed Practical Nurse

Profile Overview

NPI
1871260950
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 25, 2021
Last Updated
August 25, 2021

Practice Location

  • 68 Blaydon Loop
  • West Henrietta, NY 14586-9804

Phone: (585) 530-7200

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1871260950
Entity Type
Individual
Last Name
Marah
First Name
Alie
Middle Name
Junior
Credential
LPN
Provider Other Last Name
Marah
Provider Other First Name
Alie
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
5
Mailing Street Address
68 Blaydon Loop
Mailing City
West Henrietta
Mailing State
NY
Mailing ZIP Code
14586-9804
Mailing Country
US
Mailing Phone
(585) 530-7200
Practice Street Address
68 Blaydon Loop
Practice City
West Henrietta
Practice State
NY
Practice ZIP Code
14586-9804
Practice Country
US
Practice Phone
(585) 530-7200
Enumeration Date
August 25, 2021
Last Updated
August 25, 2021
Sex
Male
Sole Proprietor
Yes
Certification Date
August 25, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)