Individual
MS. ALISA VIRGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 CHELSEA RIDGE DR APT D, WAPPINGERS FALLS, NY 12590-5638
(551) 404-4804
Mailing address
28 CHELSEA RIDGE DR APT D, WAPPINGERS FALLS, NY 12590-5638
(551) 404-4804
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
856694642
NY
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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