Individual
ALISON R EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 MADISON AVE STE 2D, ELMIRA, NY 14901-3219
(607) 271-3442
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 271-2099
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022672
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022672
NYS LICENSE
NY
Enumeration date
10/03/2018
Last updated
07/09/2019
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