Individual
REBECCA ALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4 BAY CT, SPRING VALLEY, NY 10977-2003
(917) 915-9793
Mailing address
4 BAY CT, SPRING VALLEY, NY 10977-2003
(917) 915-9793
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
243856
NY
Other
Enumeration date
10/10/2008
Last updated
10/25/2010
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