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Individual

SUSAN I ALESSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
703 WEST FERRY ST APT A15, BUFFALO, NY 14222-1635
(716) 881-2472
(716) 881-2472
Mailing address
703 W FERRY ST APT A15, BUFFALO, NY 14222-1635
(716) 881-2472
(716) 881-2472

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
006249
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00020349601
UNIVERA
NY
01
000507945001
BCBS OF WNY
NY
01
6100977
INDEPENDENT HEALTH
NY
01
6884608
VO/GHI
NY
Enumeration date
08/31/2005
Last updated
04/03/2008
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