ALICIA M PETURSSON
NPI 1194042580
Student in an Organized Health Care Education/Training Program in East Elmhurst, NY

Active since April 26, 2010
3017 80TH ST, EAST ELMHURST, NY 11370(718) 496-0093 Get Directions Write a Review

NPPES record last updated: March 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alicia M Petursson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICIA M PETURSSON (NPI 1194042580) is an individual student in an organized health care education/training program in East Elmhurst, New York and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1194042580
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALICIA M PETURSSON
Location Address3017 80TH STEast Elmhurst, NY 11370-1501
Mailing Address3017 80th StEast Elmhurst, NY 11370-1501 · (718) 496-0093
Sole ProprietorYes
Enumeration DateApril 26, 2010
Last NPPES UpdateMarch 14, 2026
NPPES CertifiedMarch 14, 2026
NPI 1194042580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3017 80TH ST, East Elmhurst, NY 11370

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194042580, enumerated as an "individual" on April 26, 2010.

The provider is located at 3017 80TH ST EAST ELMHURST, NY 11370 and the phone number is (718) 496-0093.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.