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Individual
ALYSE MOYER
Active
Individual
ALYSE MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4331
SC
363A00000X
Physician Assistant
—
NY
363AS0400X
Surgical Physician Assistant
018492
NY
Other
Enumeration date
02/19/2015
Last updated
07/07/2025
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