Individual
MRS. ALYSSA COPPA MATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
530 E 74TH ST, NEW YORK, NY 10021-3459
(646) 608-1635
Mailing address
1055 PLEASANTVILLE RD, BRIARCLIFF MANOR, NY 10510-1623
(914) 479-2297
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
713638
NY
364S00000X
Clinical Nurse Specialist
Primary
713638
NY
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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