Individual
MS. ALYSSA M ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6059
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016403
NY
Other
Enumeration date
02/12/2013
Last updated
02/02/2015
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