Individual
ALISON DOCKSTADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7309 SENECA RD N, HORNELL, NY 14843-9691
(607) 282-5200
Mailing address
4670 CHAMBERLAIN RD, BATH, NY 14810-7646
(607) 281-4776
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
347670
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161039939
ALL OTHER INSURANCES
NY
05
—
161039939
—
NY
Enumeration date
08/02/2023
Last updated
08/02/2023
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