Individual
ALICE COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
70 MALTA AVE, BALLSTON SPA, NY 12020-1599
(518) 884-7195
Mailing address
70 MALTA AVE, BALLSTON SPA, NY 12020-1599
(518) 884-7195
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
484197
NY
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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