Individual
ALYSSON HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 BROADHOLLOW RD STE 200, MELVILLE, NY 11747-3668
(631) 385-7780
(631) 385-7795
Mailing address
538 BROADHOLLOW RD STE 200, MELVILLE, NY 11747-3668
(631) 385-7780
(631) 385-7795
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2399013
NY
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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