Individual
ALYSSA LYNNE SANDGRUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.PA-C
Contact information
Practice address
170 WILLIAM ST, NEW YORK, NY 10038-2612
(212) 312-5400
Mailing address
170 WILLIAM ST, 7TH FLOOR, DEPT OF OB/GYN, NEW YORK, NY 10038-6503
(212) 312-5400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014254
NY
Other
Enumeration date
11/05/2010
Last updated
02/25/2021
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