Individual
ALICIA J SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
133 E FAIRMOUNT AVENUE, LAKEWOOD, NY 14750-1948
(716) 526-1183
(716) 526-1165
Mailing address
133 E FAIRMOUNT AVENUE, LAKEWOOD, NY 14750-1948
(716) 526-1183
(716) 526-1165
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
018188-1
NY
363A00000X
Physician Assistant
Primary
18188
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04098757
—
NY
Enumeration date
11/21/2014
Last updated
08/08/2025
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