Individual
ALEXANDRA PESOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
17 HOSPITAL DR, MASSENA, NY 13662-1093
(315) 769-4700
Mailing address
25 PARK ST, CANTON, NY 13617-1265
(315) 379-9158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
349646
NY
Other
Enumeration date
06/23/2022
Last updated
02/28/2024
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