Individual
ALYSSA PASSELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 S CHENANGO ST, GREENE, NY 13778-1232
(607) 201-5321
Mailing address
46 S CHENANGO ST, GREENE, NY 13778-1232
(607) 201-5321
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306500-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306500-1
LPN LICENSE NUMBER
NY
Enumeration date
04/06/2014
Last updated
04/06/2014
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