Individual
ALYSSA LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
224 W 18TH ST, NEW YORK, NY 10011-4556
(646) 346-8809
Mailing address
230 E 20TH ST APT 55, NEW YORK, NY 10003-1851
(732) 557-1370
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032005
NY
363A00000X
Physician Assistant
25MP00861000
NJ
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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