Individual
ALYSSA HOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
48 ROUTE 25A STE 209, SMITHTOWN, NY 11787-1449
(631) 751-3000
(631) 751-0506
Mailing address
1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(631) 751-0506
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310328
NY
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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