Individual
ALICIA SCOOPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 MOE RD, CLIFTON PARK, NY 12065-3821
(518) 280-4294
Mailing address
44 MAYAPPLE WAY, BALLSTON SPA, NY 12020-4389
(203) 605-9568
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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