Individual
ALICIA NICOLE RAZANOUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
Mailing address
192 SCHOOLHOUSE RD, STUYVESANT, NY 12173-1802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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