Individual
ALYSSA BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
386 ROUTE 59, SUITE 102, AIRMONT, NY 10952-3428
(845) 368-7927
Mailing address
23 DARBY RD, AIRMONT, NY 10952-4502
(845) 270-1477
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
356967091
NY
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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