Individual
MRS. ALYSSA CHRISTINE VASILOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 JOHN JAMES AUDUBON PKWY, AMHERST, NY 14228-1143
(716) 204-4500
(716) 817-1900
Mailing address
2991 BRAVURA LAKE DR, SARASOTA, FL 34240
(716) 867-8450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0166231
NY
Other
Enumeration date
06/27/2013
Last updated
06/27/2017
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