Individual
MS. MARIA NOELLE ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RPA
Contact information
Practice address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 786-7300
(315) 786-7310
Mailing address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 786-7300
(315) 786-7310
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012248
NY
Other
Enumeration date
11/01/2007
Last updated
03/02/2015
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