Individual
JOHN A ALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 1/2 E MAIN ST, MARCELLUS, NY 13108-1226
(315) 673-9926
(315) 673-9465
Mailing address
28 1/2 E MAIN ST, MARCELLUS, NY 13108-1226
(315) 673-9926
(315) 673-9465
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
196637
NY
207Q00000X
Family Medicine Physician
Primary
196637
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02187460
—
NY
Enumeration date
04/05/2006
Last updated
02/14/2011
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