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Individual

ALYSSA A LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1367 WASHINGTON AVE, ALBANY, NY 12206
(518) 438-7926
(518) 438-8364
Mailing address
711 TROY-SCHENECTADY ROAD, SUITE 209, LATHAM, NY 12110
(518) 786-1667
(518) 786-1954

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
035514-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03517517
NY
01
MEDICARE
MEDICARE
NY
01
P01183368
RR MEDICARE
NY
Enumeration date
08/30/2012
Last updated
02/06/2018
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