Organization
ALPHA-MEDICOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CIPRIANI (PRESIDENT)
(570) 916-9989
Entity
Organization
Contact information
Practice address
1141 CLAY AVE, SUITE #3, DUNMORE, PA 18510-1191
(888) 916-9937
Mailing address
1141 CLAY AVE, SUITE #3, DUNMORE, PA 18510-1191
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MD061655
PA
Other
Enumeration date
06/02/2012
Last updated
06/02/2012
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