Individual
ALYSSA MARIE SPINOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 689-0298
Mailing address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 689-0298
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
020325
NY
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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