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Individual
MRS. ALYSSA COPPA MATRA
Active
Individual
MRS. ALYSSA COPPA MATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
713638
NY
364S00000X
Clinical Nurse Specialist
Primary
713638
NY
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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