Individual
ALEXA MARIE SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 4TH ST, MALONE, NY 12953-1340
(518) 483-8160
Mailing address
PO BOX 624, CHATEAUGAY, NY 12920-0624
(518) 524-8864
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
823304
NY
Other
Enumeration date
03/08/2022
Last updated
06/07/2022
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