Individual
MR. ALVIN LAWRENCE ALDRICH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9721 STATE RTE 812, CROGHAN, NY 13327-0244
(315) 346-1068
Mailing address
9721 STATE RTE 812, CROGHAN, NY 13327-0244
(315) 346-1068
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
711370434
NY
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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