Individual
ALYSSA STAUBITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
290 BAYVIEW AVE, MASSAPEQUA, NY 11758-8005
(516) 241-0306
Mailing address
290 BAYVIEW AVE, MASSAPEQUA, NY 11758-8005
(516) 241-0306
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
672465
NY
Other
Enumeration date
06/30/2021
Last updated
01/19/2023
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