Individual
ALEXIS NICOLE GONDOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 PHILLIPS ST, MASSENA, NY 13662-2016
(518) 764-8076
(315) 764-8079
Mailing address
PO BOX 608, MALONE, NY 12953-0608
(518) 651-2302
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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