Individual
ALYSSA BECKWITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 VOLNEY ST, PHOENIX, NY 13135-2032
(315) 236-3943
Mailing address
66 VOLNEY ST, PHOENIX, NY 13135-2032
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
351005
NY
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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