Individual
ALYSSA SCALLAN SCHOUEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-0333
Mailing address
109 OAKRIDGE DR, LA PLACE, LA 70068-5951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026858-01
NY
363A00000X
Physician Assistant
324298
LA
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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