Individual
ALEXX PASSALACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8 REED ST, GENEVA, NY 14456-2108
(315) 719-5424
Mailing address
8 REED ST, GENEVA, NY 14456-2108
(315) 719-5424
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
740171
NY
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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