Individual
DR. LUCILLE ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 393-6220
(315) 393-0320
Mailing address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 393-6220
(315) 393-0320
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
204605
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06000204605
—
NY
Enumeration date
06/17/2006
Last updated
10/17/2012
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