Individual
ALYSSA CLARE MACINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
179 N BROAD ST, NORWICH, NY 13815-1019
(607) 337-4218
Mailing address
225 WILKINSON ST APT 423, SYRACUSE, NY 13204-2498
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
022181
NY
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/13/2018
Last updated
03/02/2023
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